SUMMER NICOLE WIRTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133111

License Status

ACTIVE

Business

Title

First Name

SUMMER

Middle

NICOLE

Last Name

WIRTH

Business Name

SUMMER NICOLE WIRTH MD

Original Issue Date

05/30/2013

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/12/2023