DOUGLAS F WISEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021420

License Status

EXPIRED

Business

First Name

DOUGLAS F

Last Name

WISEMAN

Suffix

Business Name

DOUGLAS F WISEMAN MD

Original Issue Date

06/23/1987

Effective Date

06/23/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006