AMANDA I WACHTEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142029

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

Last Name

WACHTEL

Business Name

AMANDA I WACHTEL MD

Original Issue Date

11/29/2016

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021