AUDREY CHI-AN WEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049587

License Status

EXPIRED

Business

First Name

AUDREY

Middle

CHI-AN

Last Name

WEN

Suffix

Business Name

AUDREY CHI-AN WEN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008