ADAM MICHAEL WISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134977

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

MICHAEL

Last Name

WISE

Business Name

ADAM MICHAEL WISE MD

Original Issue Date

04/11/2014

Effective Date

04/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017