BREANNA WENNBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082242

License Status

ACTIVE

Business

Title

First Name

BREANNA

Last Name

WENNBERG

Business Name

BREANNA WENNBERG MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/11/2023