JONATHAN WIESEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144936

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Last Name

WIESEN

Business Name

JONATHAN WIESEN MD

Original Issue Date

01/12/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

TEANECK

State

Zip

07666

Ever Disciplined

LastModifiedDate

02/09/2026