CHRISTOPHER LEE WISTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

LEE

Last Name

WISTROM

Business Name

CHRISTOPHER LEE WISTROM DO

Original Issue Date

09/19/2012

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

HARVARD

State

Zip

60033

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023