AMY L WIESCH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

WIESCH

Business Name

AMY L WIESCH

Original Issue Date

05/01/2003

Effective Date

12/17/2024

Expiration Date

01/31/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025