DAVID R WENZEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017343

License Status

EXPIRED

Business

First Name

DAVID R

Last Name

WENZEL

Suffix

Business Name

DAVID R WENZEL MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

06/25/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006