JORDAN D BERLIN - Medical Doctor License in Wisconsin | # 036091296

JORDAN D BERLIN

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091296

License Status

INACTIVE

Business

N

First Name

JORDAN D

Last Name

BERLIN

Business Name

JORDAN D BERLIN

Original Issue Date

07/17/1995

Effective Date

07/17/1995

Expiration Date

07/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006