Kim Keith Wiese

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085006503

Status

Active

First issued

February 8, 2018

Expires

March 1, 2028

License holder

Kim Keith Wiese

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/05/2025

Other Illinois licenses under this name

• IL
  Kim Keith Wiese

  License 38*****16

  Physician Assistant Controlled Substance
  Active

  Peoria, IL

  Expires Mar 1, 2028

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