PAULINE K WIENER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

PAULINE K

Last Name

WIENER

Suffix

Business Name

PAULINE K WIENER MD

Original Issue Date

05/26/1994

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023