MONICA P WENTWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

MONICA

Middle

Last Name

WENTWORTH

Business Name

MONICA P WENTWORTH MD

Original Issue Date

11/18/2010

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/12/2017