LEE MARTIN TYNE MD - Medical Doctor License in Wisconsin | # 036043950

LEE MARTIN TYNE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043950

License Status

INACTIVE

Business

N

First Name

LEE MARTIN

Last Name

TYNE

Suffix

MD

Business Name

LEE MARTIN TYNE MD

Original Issue Date

12/22/1970

Effective Date

12/22/1970

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006