BLAIR NICOLE WENDLANDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059233

License Status

EXPIRED

Business

Title

First Name

BLAIR

Middle

NICOLE

Last Name

WENDLANDT

Business Name

BLAIR NICOLE WENDLANDT MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015