LISA S WICHTERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065197

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

Last Name

WICHTERMAN

Business Name

LISA S WICHTERMAN MD

Original Issue Date

08/20/1982

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/07/2023