JILL M WAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

WAHL

Suffix

Business Name

JILL M WAHL MD

Original Issue Date

02/25/2011

Effective Date

02/25/2011

Expiration Date

07/31/2011

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020