CHRISTIAN PAUL WANAMAKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056072

License Status

EXPIRED

Business

Title

First Name

CHRISTIAN

Middle

PAUL

Last Name

WANAMAKER

Business Name

CHRISTIAN PAUL WANAMAKER MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/07/2013