AMY L WIESCH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005119

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

WIESCH

Business Name

AMY L WIESCH

Original Issue Date

04/08/2003

Effective Date

12/17/2024

Expiration Date

01/31/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/26/2025