JOSHUA PAUL WIEDERMANN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069848

License Status

EXPIRED

Business

Title

First Name

JOSHUA

Middle

PAUL

Last Name

WIEDERMANN

Business Name

JOSHUA PAUL WIEDERMANN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Otolaryngology

Ever Disciplined

LastModifiedDate

10/25/2018