JACQUELINE J WISNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079394

License Status

NOT RENEWED

Business

First Name

JACQUELINE J

Last Name

WISNER

Suffix

Business Name

JACQUELINE J WISNER MD

Original Issue Date

09/08/1989

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

TIMONIUM

State

Zip

21093

Ever Disciplined

LastModifiedDate

11/17/2011