ASIA TISEAN WOOTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085274

License Status

ACTIVE

Business

Title

First Name

ASIA

Middle

TISEAN

Last Name

WOOTEN

Business Name

ASIA TISEAN WOOTEN MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/22/2025