AUSTIN WYATT PAGE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080380

License Status

CANCELLED

Business

Title

First Name

AUSTIN

Middle

WYATT

Last Name

PAGE

Business Name

AUSTIN WYATT PAGE DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/04/2024