DORIS ELLEN WICKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063841

License Status

NOT RENEWED

Business

First Name

DORIS ELLEN

Last Name

WICKMAN

Suffix

Business Name

DORIS ELLEN WICKMAN MD

Original Issue Date

02/04/1982

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011