STEPHEN R WISE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079109

License Status

ACTIVE

Business

First Name

STEPHEN R

Last Name

WISE

Suffix

Business Name

STEPHEN R WISE MD

Original Issue Date

07/03/1989

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/21/2025