JACLYN PAIGE WINIKOFF WALLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131829

License Status

ACTIVE

Business

Title

First Name

JACLYN

Middle

PAIGE

Last Name

WINIKOFF WALLIS

Business Name

JACLYN PAIGE WINIKOFF WALLIS MD

Original Issue Date

12/11/2012

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023