MATTHEW DAVID WISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

DAVID

Last Name

WISE

Business Name

MATTHEW DAVID WISE MD

Original Issue Date

07/16/2013

Effective Date

07/16/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014