MARLA ZIMBAL WOLFERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

MARLA

Middle

ZIMBAL

Last Name

WOLFERT

Business Name

MARLA ZIMBAL WOLFERT MD

Original Issue Date

08/10/2010

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014