THOMAS ADAM WICHELMANN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075098

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

ADAM

Last Name

WICHELMANN

Business Name

THOMAS ADAM WICHELMANN DO

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

PARK RIDGE

State

Zip

60068

County

ADAMS

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/29/2019