LIA ANN BERNARDI WENDELN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

LIA

Middle

ANN

Last Name

BERNARDI WENDELN

Suffix

Business Name

LIA ANN BERNARDI WENDELN MD

Original Issue Date

12/10/2010

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020