WILLARD JAMES VISEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036603

License Status

NOT RENEWED

Business

First Name

WILLARD JAMES

Last Name

VISEK

Suffix

Business Name

WILLARD JAMES VISEK MD

Original Issue Date

08/03/1960

Effective Date

08/03/1960

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006