BRUCE E WILEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039683

License Status

INACTIVE

Business

First Name

BRUCE E

Last Name

WILEY

Suffix

Business Name

BRUCE E WILEY MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

Expiration Date

07/31/1987

City

VESTAL

State

Zip

13850

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006