DAVID M ISRAELSTAM MD - Medical Doctor License in Wisconsin | # 036045545

DAVID M ISRAELSTAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045545

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

M

Last Name

ISRAELSTAM

Suffix

MD

Business Name

DAVID M ISRAELSTAM MD

Original Issue Date

03/27/1972

Effective Date

03/27/1972

Expiration Date

07/31/2005

State

WI

Ever Disciplined

Y

LastModifiedDate

05/29/2013

Case Number

2011007385

Action

Reprimand

Discipline Start Date

12/01/2011

Discipline Reason

due to prior discipline by the state of Wisconsin.