KAREN PHYLIS WIARDA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

KAREN

Middle

PHYLIS

Last Name

WIARDA

Business Name

KAREN PHYLIS WIARDA DO

Original Issue Date

03/17/2016

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023