JOHANNA J VERWILGHEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029320

License Status

EXPIRED

Business

First Name

JOHANNA

Middle

Last Name

VERWILGHEN

Business Name

JOHANNA J VERWILGHEN

Original Issue Date

04/29/1993

Effective Date

04/29/1993

Expiration Date

04/22/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Rheumatology

Ever Disciplined

LastModifiedDate

09/22/2006