WAYNE MORRIS DETMER JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

WAYNE

Middle

MORRIS

Last Name

DETMER

Suffix

JR MD

Business Name

WAYNE MORRIS DETMER JR MD

Original Issue Date

01/26/1999

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023