ANDREW O WAHL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047261

License Status

EXPIRED

Business

First Name

ANDREW

Middle

Last Name

WAHL

Suffix

Business Name

ANDREW O WAHL MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

07/31/2008