STEPHEN R WISE MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

INOPERATIVE

Business

First Name

STEPHEN R

Last Name

WISE

Suffix

Business Name

STEPHEN R WISE MD

Original Issue Date

10/17/1989

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023