ADAM JOSEPH WISE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080835

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

JOSEPH

Last Name

WISE

Business Name

ADAM JOSEPH WISE MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2025

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/10/2024