ELIZABETH A WANTUCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125197

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

WANTUCH

Suffix

Business Name

ELIZABETH A WANTUCH MD

Original Issue Date

03/15/2010

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2023