TIMOTHY SHANE WYMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068272

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

SHANE

Last Name

WYMAN

Business Name

TIMOTHY SHANE WYMAN MD

Original Issue Date

07/17/2019

Effective Date

07/17/2019

Expiration Date

07/16/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/17/2019