CHRISTIAN WIRAWAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171642

License Status

ACTIVE

Business

Title

First Name

CHRISTIAN

Last Name

WIRAWAN

Business Name

CHRISTIAN WIRAWAN DO

Original Issue Date

08/20/2024

Effective Date

08/20/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

08/20/2024