ELLEN KATHLEEN WETTSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

ELLEN

Middle

KATHLEEN

Last Name

WETTSTEIN

Business Name

ELLEN KATHLEEN WETTSTEIN MD

Original Issue Date

05/20/2020

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023