MARK T WICHMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025511

License Status

EXPIRED

Business

First Name

MARK T

Last Name

WICHMAN

Suffix

Business Name

MARK T WICHMAN MD

Original Issue Date

06/18/1990

Effective Date

06/18/1990

Expiration Date

06/19/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006