HENRY R WIENKE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

Last Name

WIENKE

Suffix

JR MD

Business Name

HENRY R WIENKE JR MD

Original Issue Date

01/13/1984

Effective Date

01/13/1984

Expiration Date

07/31/2005

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011