AMY L WIESCH Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000521

License Status

EXPIRED

Business

First Name

AMY

Middle

Last Name

WIESCH

Business Name

AMY L WIESCH

Original Issue Date

07/18/2002

Effective Date

07/18/2002

Expiration Date

06/30/2003

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/25/2006