AUDREY CHI-AN WEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120561

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

CHI-AN

Last Name

WEN

Suffix

Business Name

AUDREY CHI-AN WEN MD

Original Issue Date

04/14/2008

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014