DALE LEE WREN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052419

License Status

EXPIRED

Business

First Name

DALE

Middle

LEE

Last Name

WREN

Suffix

Business Name

DALE LEE WREN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/08/2010