MITCHELL C WIESEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031123

License Status

EXPIRED

Business

First Name

MITCHELL C

Last Name

WIESEL

Business Name

MITCHELL C WIESEL

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

06/30/1997

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006