KATHLEEN MARY WIEST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155459

License Status

ACTIVE

Business

Title

First Name

KATHLEEN

Middle

MARY

Last Name

WIEST

Business Name

KATHLEEN MARY WIEST MD

Original Issue Date

01/29/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023