JAMES ALAN WIESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

ALAN

Last Name

WIESE

Business Name

JAMES ALAN WIESE MD

Original Issue Date

03/15/2016

Effective Date

03/15/2016

Expiration Date

07/31/2017

City

IOWA CITY

State

Zip

52246

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017