ELIZABETH A WANTUCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

WANTUCH

Suffix

Business Name

ELIZABETH A WANTUCH MD

Original Issue Date

03/19/2010

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023