ROXANA WISWELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075470

License Status

CANCELLED

Business

Title

First Name

ROXANA

Last Name

WISWELL

Business Name

ROXANA WISWELL MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/17/2023