JOSEPH CHARLES WICKARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059590

License Status

CANCELLED

Business

Title

First Name

JOSEPH

Middle

CHARLES

Last Name

WICKARD

Business Name

JOSEPH CHARLES WICKARD MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/25/2011