RICHARD BRYAN WISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102217

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

BRYAN

Last Name

WISE

Suffix

Business Name

RICHARD BRYAN WISE MD

Original Issue Date

03/29/2000

Effective Date

03/29/2000

Expiration Date

07/31/2002

City

PHILADELPHIA

State

Zip

19102

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006