JOSHUA M WIEDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078685

License Status

NOT RENEWED

Business

First Name

JOSHUA M

Last Name

WIEDER

Suffix

Business Name

JOSHUA M WIEDER MD

Original Issue Date

04/11/1989

Effective Date

04/11/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006