JOHN WISEMAN WEST MD - Medical Doctor License in Kentucky | # 036103530

JOHN WISEMAN WEST MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103530

License Status

INACTIVE

Business

N

First Name

JOHN

Middle

WISEMAN

Last Name

WEST

Suffix

MD

Business Name

JOHN WISEMAN WEST MD

Original Issue Date

09/25/2000

Effective Date

09/25/2000

Expiration Date

07/31/2002

State

KY

Ever Disciplined

N

LastModifiedDate

10/09/2006