WILLIAM R WISEMAN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116959

License Status

INACTIVE

Business

First Name

WILLIAM

Middle

Last Name

WISEMAN

Suffix

Business Name

WILLIAM R WISEMAN DO

Original Issue Date

10/02/2006

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

MELBOURNE BEACH

State

Zip

32951

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/12/2014