IRVIN M WIESMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033367

License Status

EXPIRED

Business

Title

First Name

IRVIN M

Last Name

WIESMAN

Business Name

IRVIN M WIESMAN MD

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

06/19/1998

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006