BLAINE WILSON CLAYPOOL JR MD - Medical Doctor License in Wisconsin | # 036031518

BLAINE WILSON CLAYPOOL JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031518

License Status

NOT RENEWED

Business

N

First Name

BLAINE WILSON

Last Name

CLAYPOOL JR

Suffix

MD

Business Name

BLAINE WILSON CLAYPOOL JR MD

Original Issue Date

08/25/1952

Effective Date

08/25/1952

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006