WILLIAM J LISTWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043877

License Status

NOT RENEWED

Business

First Name

WILLIAM J

Last Name

LISTWAN

Suffix

Business Name

WILLIAM J LISTWAN MD

Original Issue Date

10/21/1970

Effective Date

10/21/1970

City

WEST BEND

State

Zip

53095

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006