JEFFREY JONATHAN WISE MD - Medical Doctor License in Michigan | # 036097103

JEFFREY JONATHAN WISE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097103

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

JONATHAN

Last Name

WISE

Suffix

MD

Business Name

JEFFREY JONATHAN WISE MD

Original Issue Date

12/15/1997

Effective Date

12/15/1997

Expiration Date

07/31/1999

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006