GHOLAM R HAFEZ MD - Medical Doctor License in Wisconsin | # 036046924

GHOLAM R HAFEZ MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046924

License Status

INACTIVE

Business

N

First Name

GHOLAM R

Last Name

HAFEZ

Suffix

MD

Business Name

GHOLAM R HAFEZ MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006