TIMOTHY S WOLLNER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018200

License Status

EXPIRED

Business

First Name

TIMOTHY S

Last Name

WOLLNER

Suffix

Business Name

TIMOTHY S WOLLNER DO

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006