GARY ALLAN WIKERT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

CANCELLED

Business

First Name

GARY

Middle

ALLAN

Last Name

WIKERT

Suffix

Business Name

GARY ALLAN WIKERT MD

Original Issue Date

01/07/1998

Effective Date

01/07/1998

Expiration Date

07/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006