MARK D WENDT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030427

License Status

EXPIRED

Business

First Name

MARK D

Last Name

WENDT

Suffix

Business Name

MARK D WENDT DO

Original Issue Date

06/22/1993

Effective Date

06/22/1993

Expiration Date

06/30/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006