WILLIAM JOHN WISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051393

License Status

NOT RENEWED

Business

First Name

WILLIAM JOHN

Last Name

WISE

Suffix

Business Name

WILLIAM JOHN WISE MD

Original Issue Date

08/12/1975

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017