KRISTIN MARIE WIESE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130309

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

MARIE

Last Name

WIESE

Business Name

KRISTIN MARIE WIESE MD

Original Issue Date

05/10/2012

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2023