BARRY GLENN WILLENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

BARRY GLENN

Last Name

WILLENS

Suffix

Business Name

BARRY GLENN WILLENS MD

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006