CHANDRA KAY WIEWEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109489

License Status

NOT RENEWED

Business

First Name

CHANDRA

Middle

KAY

Last Name

WIEWEL

Suffix

Business Name

CHANDRA KAY WIEWEL MD

Original Issue Date

06/19/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008