LUCY N WISDOM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110740

License Status

ACTIVE

Business

First Name

LUCY

Middle

Last Name

WISDOM

Business Name

LUCY N WISDOM

Original Issue Date

01/28/2004

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/22/2023