JERRY MILTON INGALLS MD - Medical Doctor License in Wisconsin | # 036038518

JERRY MILTON INGALLS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038518

License Status

INACTIVE

Business

N

First Name

JERRY MILTON

Last Name

INGALLS

Suffix

MD

Business Name

JERRY MILTON INGALLS MD

Original Issue Date

07/26/1963

Effective Date

07/26/1963

Expiration Date

07/31/1996

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006