HERBERT RANDALL WISER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062862

License Status

NOT RENEWED

Business

First Name

HERBERT RANDALL

Last Name

WISER

Suffix

Business Name

HERBERT RANDALL WISER MD

Original Issue Date

08/14/1981

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

HUDSON

State

Zip

61748

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021