BARRY GLENN WILLENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015103

License Status

EXPIRED

Business

First Name

BARRY GLENN

Last Name

WILLENS

Suffix

Business Name

BARRY GLENN WILLENS MD

Original Issue Date

12/20/1982

Effective Date

12/20/1982

Expiration Date

01/12/1985

City

CHICAG

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006