JOHN CHARLES WYNSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

CHARLES

Last Name

WYNSEN

Suffix

Business Name

JOHN CHARLES WYNSEN MD

Original Issue Date

01/22/2001

Effective Date

01/22/2001

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006