MICHAEL TYLER WIISANEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122167

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

TYLER

Last Name

WIISANEN

Suffix

Business Name

MICHAEL TYLER WIISANEN MD

Original Issue Date

11/03/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023