KAITLYN MARIE ANDERHOLM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001617

License Status

EXPIRED

Business

Title

First Name

KAITLYN

Middle

MARIE

Last Name

ANDERHOLM

Business Name

KAITLYN MARIE ANDERHOLM MD

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

02/11/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/29/2025