MARK T WICHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088754

License Status

NOT RENEWED

Business

First Name

MARK T

Last Name

WICHMAN

Suffix

Business Name

MARK T WICHMAN MD

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006