KAREN PHYLIS WIARDA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140067

License Status

ACTIVE

Business

Title

First Name

KAREN

Middle

PHYLIS

Last Name

WIARDA

Business Name

KAREN PHYLIS WIARDA DO

Original Issue Date

03/17/2016

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

VERMILION

Ever Disciplined

LastModifiedDate

06/09/2023