ALAN EDWARD WURZELBACHER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053599

License Status

CANCELLED

Business

Title

First Name

ALAN

Middle

EDWARD

Last Name

WURZELBACHER

Business Name

ALAN EDWARD WURZELBACHER MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/07/2007