DANIEL P WIRT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012665

License Status

EXPIRED

Business

First Name

DANIEL P

Last Name

WIRT

Business Name

DANIEL P WIRT

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

05/27/1983

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006