BLAINE WILSON CLAYPOOL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031518

License Status

NOT RENEWED

Business

First Name

BLAINE WILSON

Last Name

CLAYPOOL JR

Suffix

Business Name

BLAINE WILSON CLAYPOOL JR MD

Original Issue Date

08/25/1952

Effective Date

08/25/1952

City

APPLETON

State

Zip

54914

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006