AMY L WIESCH - Podiatrist License in Illinois | # 135000521

AMY L WIESCH

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000521

License Status

EXPIRED

Business

N

First Name

AMY

Middle

L

Last Name

WIESCH

Business Name

AMY L WIESCH

Original Issue Date

07/18/2002

Effective Date

07/18/2002

Expiration Date

06/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006