MARTINA WOLLENHAUPT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043833

License Status

CANCELLED

Business

First Name

MARTINA

Last Name

WOLLENHAUPT

Suffix

Business Name

MARTINA WOLLENHAUPT MD

Original Issue Date

02/01/2002

Effective Date

02/01/2002

Expiration Date

01/31/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006