DANA WISEMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063723

License Status

INACTIVE

Business

First Name

DANA

Last Name

WISEMAN

Suffix

Business Name

DANA WISEMAN MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/31/1990

City

GLASTONBURY

State

Zip

06033

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006