LEXY A WISTENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022470

License Status

EXPIRED

Business

First Name

LEXY A

Last Name

WISTENBERG

Suffix

Business Name

LEXY A WISTENBERG MD

Original Issue Date

05/19/1988

Effective Date

05/19/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006