MAX V WISGERHOF II MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042625

License Status

INACTIVE

Business

First Name

MAX V

Last Name

WISGERHOF II

Suffix

Business Name

MAX V WISGERHOF II MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/31/1987

City

DETROIT

State

Zip

48202

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006