JEFFREY RANDOLPH WICHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

RANDOLPH

Last Name

WICHMAN

Suffix

Business Name

JEFFREY RANDOLPH WICHMAN MD

Original Issue Date

01/02/2008

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023