PETER F WISNIEWSKI DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056900

License Status

INACTIVE

Business

First Name

PETER F

Last Name

WISNIEWSKI

Suffix

Business Name

PETER F WISNIEWSKI DO

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1987

City

HOULKA

State

Zip

38850

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/20/2006