ALISHA MICHELLE MAVIS MD - Medical Doctor License in Wisconsin | # 036134960

ALISHA MICHELLE MAVIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134960

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ALISHA

Middle

MICHELLE

Last Name

MAVIS

Business Name

ALISHA MICHELLE MAVIS MD

Original Issue Date

04/09/2014

Effective Date

04/09/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017