CAROLINE GRACE WAMBACH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076074

License Status

EXPIRED

Business

First Name

CAROLINE

Middle

GRACE

Last Name

WAMBACH

Business Name

CAROLINE GRACE WAMBACH

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/06/2024