NEIL W WANGSTROM MD - Medical Doctor License in Indiana | # 036075251

NEIL W WANGSTROM MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075251

License Status

INACTIVE

Business

N

First Name

NEIL W

Last Name

WANGSTROM

Suffix

MD

Business Name

NEIL W WANGSTROM MD

Original Issue Date

06/27/1987

Effective Date

06/27/1987

Expiration Date

07/31/1993

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006