LEXY A WISTENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082382

License Status

ACTIVE

Business

First Name

LEXY A

Last Name

WISTENBERG

Suffix

Business Name

LEXY A WISTENBERG MD

Original Issue Date

04/30/1991

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/30/2023