TIERNEY ELIZABETH WOLGEMUTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075538

License Status

EXPIRED

Business

Title

First Name

TIERNEY

Middle

ELIZABETH

Last Name

WOLGEMUTH

Business Name

TIERNEY ELIZABETH WOLGEMUTH MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/30/2024