THEODORE SAMUEL WOLFSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149489

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

SAMUEL

Last Name

WOLFSON

Business Name

THEODORE SAMUEL WOLFSON

Original Issue Date

05/30/2019

Effective Date

05/30/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021