WENDEWESSEN AMDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

WENDEWESSEN

Last Name

AMDE

Business Name

WENDEWESSEN AMDE MD

Original Issue Date

02/21/2012

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

STICKNEY

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023