DOUGLAS F WISEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083852

License Status

NOT RENEWED

Business

First Name

DOUGLAS F

Last Name

WISEMAN

Suffix

Business Name

DOUGLAS F WISEMAN MD

Original Issue Date

12/20/1991

Effective Date

12/20/1991

Expiration Date

07/31/2002

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

06/04/2019