ABBY LEE REWOLDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001452

License Status

EXPIRED

Business

Title

First Name

ABBY

Middle

LEE

Last Name

REWOLDT

Business Name

ABBY LEE REWOLDT MD

Original Issue Date

05/29/2022

Effective Date

05/29/2022

Expiration Date

06/28/2022

City

CHICAGO

State

Zip

60612

County

INDIANA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022