JOHN PATRICK REVORD MD - Medical Doctor License in Wisconsin | # 036098463

JOHN PATRICK REVORD MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098463

License Status

INACTIVE

Business

N

First Name

JOHN

Middle

PATRICK

Last Name

REVORD

Suffix

MD

Business Name

JOHN PATRICK REVORD MD

Original Issue Date

07/27/1998

Effective Date

07/27/1998

Expiration Date

07/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006