GENEVA MARILYN WAHL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068207

License Status

EXPIRED

Business

Title

First Name

GENEVA

Middle

MARILYN

Last Name

WAHL

Business Name

GENEVA MARILYN WAHL MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/19/2020