CHARLES L WISSEMAN III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063874

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

WISSEMAN III

Suffix

Business Name

CHARLES L WISSEMAN III MD

Original Issue Date

02/10/1982

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017