SETH EDWARD WILENTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043607

License Status

EXPIRED

Business

First Name

SETH

Middle

EDWARD

Last Name

WILENTZ

Suffix

Business Name

SETH EDWARD WILENTZ MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006