CAROL ANN WISNIEWSKI Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

CAROL ANN

Last Name

WISNIEWSKI

Business Name

CAROL ANN WISNIEWSKI

Original Issue Date

01/01/1998

Effective Date

01/13/2025

Expiration Date

01/31/2027

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2025