JENNIFER ELLEN WIRSIG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000488

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

ELLEN

Last Name

WIRSIG

Suffix

Business Name

JENNIFER ELLEN WIRSIG MD

Original Issue Date

08/09/2000

Effective Date

08/09/2000

Expiration Date

08/08/2003

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006