AMANDA ASHLEYANN MAE WENZEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143489

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

ASHLEYANN MAE

Last Name

WENZEL

Business Name

AMANDA ASHLEYANN MAE WENZEL MD

Original Issue Date

06/14/2017

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

MILWAUKEE

State

Zip

53204

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023