LT M J BLICK MC USNR - Medical Doctor License in Wisconsin | # 036044464

LT M J BLICK MC USNR

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044464

License Status

NOT RENEWED

Business

N

First Name

LT M J

Last Name

BLICK

Suffix

MC USNR

Business Name

LT M J BLICK MC USNR

Original Issue Date

07/09/1971

Effective Date

07/09/1971

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006