AMANDA I WACHTEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064926

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

Last Name

WACHTEL

Business Name

AMANDA I WACHTEL MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/03/2014