DANA WISEMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

CANCELLED

Business

First Name

DANA

Last Name

WISEMAN

Suffix

Business Name

DANA WISEMAN MD

Original Issue Date

02/24/1982

Effective Date

02/24/1982

Expiration Date

07/31/1990

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006