WANDA B IZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110849

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

Last Name

IZA

Business Name

WANDA B IZA

Original Issue Date

02/23/2004

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011