JESSICA KATHRYN WISE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078903

License Status

EXPIRED

Business

Title

First Name

JESSICA

Middle

KATHRYN

Last Name

WISE

Business Name

JESSICA KATHRYN WISE MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

ADAMS

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/30/2024