XIMENA WISE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080066

License Status

CANCELLED

Business

Title

First Name

XIMENA

Last Name

WISE

Business Name

XIMENA WISE MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

09/17/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

LastModifiedDate

03/15/2026