CHARLES L WISSEMAN III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

WISSEMAN III

Suffix

Business Name

CHARLES L WISSEMAN III MD

Original Issue Date

08/12/1982

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017