THEODORE M WYNNYCHENKO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

WYNNYCHENKO

Suffix

Business Name

THEODORE M WYNNYCHENKO MD

Original Issue Date

05/27/1999

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023