RALPH THOMAS WYNN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

RALPH

Middle

THOMAS

Last Name

WYNN

Suffix

Business Name

RALPH THOMAS WYNN MD

Original Issue Date

06/17/1999

Effective Date

06/17/1999

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006