KATHLEEN MARIE WIESE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116176

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

WIESE

Suffix

Business Name

KATHLEEN MARIE WIESE DO

Original Issue Date

06/08/2006

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CAROLINA BEACH

State

Zip

28428

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

08/16/2023