ELISABETH I WALLNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028869

License Status

EXPIRED

Business

First Name

ELISABETH I

Last Name

WALLNER

Business Name

ELISABETH I WALLNER

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006