HEATHER JO WICHMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053137

License Status

EXPIRED

Business

First Name

HEATHER

Middle

Last Name

WICHMAN

Suffix

Business Name

HEATHER JO WICHMAN MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/19/2011