DAVID A WOLRAICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

WOLRAICH

Suffix

Business Name

DAVID A WOLRAICH MD

Original Issue Date

07/07/2011

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021