HERBERT RANDALL WISER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

HERBERT RANDALL

Last Name

WISER

Suffix

Business Name

HERBERT RANDALL WISER MD

Original Issue Date

09/15/1981

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

HUDSON

State

Zip

61748

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021