WILLIAM R WISEMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047917

License Status

EXPIRED

Business

First Name

WILLIAM

Middle

Last Name

WISEMAN

Suffix

Business Name

WILLIAM R WISEMAN DO

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

07/03/2007