TERRENCE DAVID WILKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

TERRENCE

Middle

DAVID

Last Name

WILKIN

Suffix

Business Name

TERRENCE DAVID WILKIN MD

Original Issue Date

04/16/2002

Effective Date

08/21/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011