JONATHAN ALLEN WYATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026638

License Status

EXPIRED

Business

First Name

JONATHAN ALLEN

Last Name

WYATT

Suffix

Business Name

JONATHAN ALLEN WYATT MD

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

06/23/1992

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006