ALAN F WISE MD - Medical Doctor License in Indiana | # 036073968

ALAN F WISE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073968

License Status

INACTIVE

Business

N

First Name

ALAN F

Last Name

WISE

Suffix

MD

Business Name

ALAN F WISE MD

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006