MARY M WESTERHOLM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

WESTERHOLM

Business Name

MARY M WESTERHOLM

Original Issue Date

09/06/2006

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023