JACQUELINE J WISNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021201

License Status

EXPIRED

Business

First Name

JACQUELINE J

Last Name

WISNER

Suffix

Business Name

JACQUELINE J WISNER MD

Original Issue Date

06/08/1987

Effective Date

06/08/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006