JACLYN PAIGE WINIKOFF WALLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

JACLYN

Middle

PAIGE

Last Name

WINIKOFF WALLIS

Business Name

JACLYN PAIGE WINIKOFF WALLIS MD

Original Issue Date

11/20/2018

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023