GEOFFREY A WISS MD - Medical Doctor License in Michigan | # 036109106

GEOFFREY A WISS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109106

License Status

NOT RENEWED

Business

N

First Name

GEOFFREY

Middle

A

Last Name

WISS

Suffix

MD

Business Name

GEOFFREY A WISS MD

Original Issue Date

04/28/2003

Effective Date

04/28/2003

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006