MARNI CHARLOTTE WISEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000473

License Status

EXPIRED

Business

First Name

MARNI

Middle

CHARLOTTE

Last Name

WISEMAN

Suffix

Business Name

MARNI CHARLOTTE WISEMAN MD

Original Issue Date

02/14/2000

Effective Date

02/14/2000

Expiration Date

03/13/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/25/2006