HERSHEL LISTON WIX JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

HERSHEL

Middle

LISTON

Last Name

WIX

Suffix

JR MD

Business Name

HERSHEL LISTON WIX JR MD

Original Issue Date

09/08/1998

Effective Date

09/08/1998

Expiration Date

07/31/2002

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020