AUSTIN WYATT PAGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172229

License Status

ACTIVE

Business

Title

First Name

AUSTIN

Middle

WYATT

Last Name

PAGE

Business Name

AUSTIN WYATT PAGE DO

Original Issue Date

10/04/2024

Effective Date

10/04/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2024