DOUGLAS SHANE WISEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150881

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

SHANE

Last Name

WISEMAN

Business Name

DOUGLAS SHANE WISEMAN MD

Original Issue Date

09/27/2019

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/26/2023