KAITLYN MARIE WEIDENBACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137550

License Status

NOT RENEWED

Business

Title

First Name

KAITLYN

Middle

MARIE

Last Name

WEIDENBACH

Business Name

KAITLYN MARIE WEIDENBACH MD

Original Issue Date

03/11/2015

Effective Date

03/11/2015

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017