MONICA P WENTWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126893

License Status

NOT RENEWED

Business

Title

First Name

MONICA

Middle

Last Name

WENTWORTH

Business Name

MONICA P WENTWORTH MD

Original Issue Date

11/18/2010

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017