KATHERINE WAILEN SU Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156913

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

WAILEN

Last Name

Business Name

KATHERINE WAILEN SU

Original Issue Date

05/12/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

Ever Disciplined

LastModifiedDate

04/11/2023