EMILY LOUISE WICKERSHAM D.O. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177695

License Status

ACTIVE

Business

Title

D.O.

First Name

EMILY

Middle

LOUISE

Last Name

WICKERSHAM

Business Name

EMILY LOUISE WICKERSHAM D.O.

Original Issue Date

10/29/2025

Effective Date

10/29/2025

Expiration Date

07/31/2026

City

SAINT JOSEPH

State

Zip

64505

Ever Disciplined

LastModifiedDate

10/29/2025