JOYCE ELIZABETH WISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054460

License Status

NOT RENEWED

Business

First Name

JOYCE ELIZABETH

Last Name

WISE

Suffix

Business Name

JOYCE ELIZABETH WISE MD

Original Issue Date

04/14/1977

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017