JEROME JAMES WISNESKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040623

License Status

NOT RENEWED

Business

First Name

JEROME JAMES

Last Name

WISNESKI

Suffix

Business Name

JEROME JAMES WISNESKI MD

Original Issue Date

08/26/1966

Effective Date

08/26/1966

Expiration Date

07/31/1987

City

GRAND RAPIDS

State

Zip

49504

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006