JILL KATHLEEN WIRTH-RISSMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049307

License Status

EXPIRED

Business

First Name

JILL

Middle

KATHLEEN

Last Name

WIRTH-RISSMAN

Suffix

Business Name

JILL KATHLEEN WIRTH-RISSMAN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

NORMAL

State

Zip

61790

County

MCLEAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008