ALLEN R WENDT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

Last Name

WENDT

Business Name

ALLEN R WENDT

Original Issue Date

04/11/2003

Effective Date

06/27/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011