JEOFFREY K WOLENS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031995

License Status

EXPIRED

Business

First Name

JEOFFREY K

Last Name

WOLENS

Business Name

JEOFFREY K WOLENS

Original Issue Date

06/27/1994

Effective Date

06/27/1994

Expiration Date

06/26/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006