KRISTEN BENNE WENDELL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062771

License Status

CANCELLED

Business

Title

First Name

KRISTEN

Middle

BENNE

Last Name

WENDELL

Business Name

KRISTEN BENNE WENDELL DO

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

ARLINGTON HEIGHTS

State

Zip

60004

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014