BRANDI LYNN WISEMAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061105

License Status

CANCELLED

Business

Title

First Name

BRANDI

Middle

LYNN

Last Name

WISEMAN

Business Name

BRANDI LYNN WISEMAN DO

Original Issue Date

10/08/2015

Effective Date

10/08/2015

Expiration Date

10/07/2016

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/02/2015