FREDRICK WOOD JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031998

License Status

INACTIVE

Business

First Name

FREDRICK

Last Name

WOOD JR

Suffix

Business Name

FREDRICK WOOD JR MD

Original Issue Date

05/15/1953

Effective Date

05/15/1953

Expiration Date

07/31/1987

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006