ALAN F WISE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017308

License Status

EXPIRED

Business

First Name

ALAN F

Last Name

WISE

Suffix

Business Name

ALAN F WISE MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

07/01/1986

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006