ELISABETH I WALLNER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

ELISABETH I

Last Name

WALLNER

Business Name

ELISABETH I WALLNER

Original Issue Date

08/08/1995

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023