KATY LAUREL WUMMEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062073

License Status

CANCELLED

Business

Title

First Name

KATY

Middle

LAUREL

Last Name

WUMMEL

Business Name

KATY LAUREL WUMMEL MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2012