THEODORE M WYNNYCHENKO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029309

License Status

EXPIRED

Business

First Name

THEODORE

Middle

Last Name

WYNNYCHENKO

Suffix

Business Name

THEODORE M WYNNYCHENKO MD

Original Issue Date

04/27/1993

Effective Date

04/27/1993

Expiration Date

06/30/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006