JONATHON WILLIAM WANTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155918

License Status

ACTIVE

Business

Title

First Name

JONATHON

Middle

WILLIAM

Last Name

WANTA

Business Name

JONATHON WILLIAM WANTA MD

Original Issue Date

03/06/2021

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

06/03/2023