DANIEL ROBERT WENZKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047170

License Status

EXPIRED

Business

First Name

DANIEL

Middle

ROBERT

Last Name

WENZKE

Suffix

Business Name

DANIEL ROBERT WENZKE MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/03/2007