JOSEPH CHARLES WICKARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134737

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

CHARLES

Last Name

WICKARD

Business Name

JOSEPH CHARLES WICKARD MD

Original Issue Date

03/05/2014

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017