MITCHELL C WIESEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093229

License Status

NOT RENEWED

Business

First Name

MITCHELL C

Last Name

WIESEL

Business Name

MITCHELL C WIESEL

Original Issue Date

06/18/1996

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017