KRISTEN MARIE WITKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128299

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

MARIE

Last Name

WITKOWSKI

Business Name

KRISTEN MARIE WITKOWSKI MD

Original Issue Date

07/01/2011

Effective Date

07/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021