JEAN N WANNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026892

License Status

EXPIRED

Business

First Name

JEAN

Middle

NOSKER

Last Name

WANNER

Business Name

JEAN N WANNER

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

06/20/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006