MICHAEL WILLIAM WANDLING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060444

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

WILLIAM

Last Name

WANDLING

Business Name

MICHAEL WILLIAM WANDLING MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014