MATTHEW K GENTILE - Medical Doctor License in Wisconsin | # 036081790

MATTHEW K GENTILE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081790

License Status

NOT RENEWED

Business

N

First Name

MATTHEW K

Last Name

GENTILE

Business Name

MATTHEW K GENTILE

Original Issue Date

11/03/1990

Effective Date

11/03/1990

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006