KAITLYN MARIE WEIDENBACH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057796

License Status

EXPIRED

Business

Title

First Name

KAITLYN

Middle

MARIE

Last Name

WEIDENBACH

Business Name

KAITLYN MARIE WEIDENBACH MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/04/2015