KRISTEN MARIE WITKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

MARIE

Last Name

WITKOWSKI

Business Name

KRISTEN MARIE WITKOWSKI MD

Original Issue Date

06/21/2012

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021