DON EDWARD WIESE II MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039532

License Status

EXPIRED

Business

First Name

DON

Middle

EDWARD

Last Name

WIESE

Suffix

II MD

Business Name

DON EDWARD WIESE II MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006