JASON ANDREW WIESE DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010138

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ANDREW

Last Name

WIESE

Suffix

Business Name

JASON ANDREW WIESE DC

Original Issue Date

03/11/2004

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008