FREDERICK A WISEMAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

WISEMAN

Suffix

DPM

Business Name

FREDERICK A WISEMAN DPM

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

BROADVIEW

State

Zip

60155

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006