MARK W MEWISSEN MD - Medical Doctor License in Wisconsin | # 036103261

MARK W MEWISSEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103261

License Status

INACTIVE

Business

N

First Name

MARK

Middle

W

Last Name

MEWISSEN

Suffix

MD

Business Name

MARK W MEWISSEN MD

Original Issue Date

08/14/2000

Effective Date

08/14/2000

Expiration Date

07/31/2002

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006