KAITLIN ELIZABETH WANTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140709

License Status

ACTIVE

Business

Title

First Name

KAITLIN

Middle

ELIZABETH

Last Name

WANTA

Business Name

KAITLIN ELIZABETH WANTA DO

Original Issue Date

05/18/2016

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60487

Ever Disciplined

LastModifiedDate

06/23/2023