PRESCOTT S WISKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068654

License Status

NOT RENEWED

Business

First Name

PRESCOTT S

Last Name

WISKE

Suffix

Business Name

PRESCOTT S WISKE MD

Original Issue Date

05/14/1984

Effective Date

05/14/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006