MICHAEL ROBERT MCCORMICK MD - Medical Doctor License in Wisconsin | # 036038235

MICHAEL ROBERT MCCORMICK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038235

License Status

NOT RENEWED

Business

N

First Name

MICHAEL ROBERT

Last Name

MCCORMICK

Suffix

MD

Business Name

MICHAEL ROBERT MCCORMICK MD

Original Issue Date

12/04/1962

Effective Date

12/04/1962

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006