BRANDI LYNN WISEMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

BRANDI

Middle

LYNN

Last Name

WISEMAN

Business Name

BRANDI LYNN WISEMAN DO

Original Issue Date

10/12/2016

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

HALLOWELL

State

Zip

04347

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023