AUDREY CHI-AN WEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

CHI-AN

Last Name

WEN

Suffix

Business Name

AUDREY CHI-AN WEN MD

Original Issue Date

05/06/2008

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60644

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014