KRISTEN BENNE WENDELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

BENNE

Last Name

WENDELL

Business Name

KRISTEN BENNE WENDELL DO

Original Issue Date

07/21/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023