GARY GENE WIESMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042623

License Status

ACTIVE

Business

First Name

GARY GENE

Last Name

WIESMAN

Suffix

Business Name

GARY GENE WIESMAN MD

Original Issue Date

07/01/1969

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2023