ALAN F WISE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073968

License Status

INACTIVE

Business

First Name

ALAN F

Last Name

WISE

Suffix

Business Name

ALAN F WISE MD

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/1990

City

GREENWOOD

State

Zip

46142

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006