DANIEL WOLENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017454

License Status

EXPIRED

Business

First Name

DANIEL

Last Name

WOLENS

Suffix

Business Name

DANIEL WOLENS MD

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

06/25/1986

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006