KAITLIN ELIZABETH WANTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

KAITLIN

Middle

ELIZABETH

Last Name

WANTA

Business Name

KAITLIN ELIZABETH WANTA DO

Original Issue Date

05/14/2019

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60487

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023