CHRISTOPHER LEE WISTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131461

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

LEE

Last Name

WISTROM

Business Name

CHRISTOPHER LEE WISTROM DO

Original Issue Date

09/19/2012

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/15/2023