TERRANCE WISEMAN MD - Medical Doctor License in Wisconsin | # 036045026

TERRANCE WISEMAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045026

License Status

NOT RENEWED

Business

N

First Name

TERRANCE

Last Name

WISEMAN

Suffix

MD

Business Name

TERRANCE WISEMAN MD

Original Issue Date

11/24/1971

Effective Date

11/24/1971

Expiration Date

07/31/1984

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006