EDWARD HARRIS WIESELTIER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064438

License Status

CANCELLED

Business

Title

First Name

EDWARD

Middle

HARRIS

Last Name

WIESELTIER

Business Name

EDWARD HARRIS WIESELTIER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

05/08/2014