JEROME JAMES WISNESKI MD - Medical Doctor License in Michigan | # 036040623

JEROME JAMES WISNESKI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040623

License Status

NOT RENEWED

Business

N

First Name

JEROME JAMES

Last Name

WISNESKI

Suffix

MD

Business Name

JEROME JAMES WISNESKI MD

Original Issue Date

08/26/1966

Effective Date

08/26/1966

Expiration Date

07/31/1987

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006