LEE MARTIN TYNE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043950

License Status

INACTIVE

Business

First Name

LEE MARTIN

Last Name

TYNE

Suffix

Business Name

LEE MARTIN TYNE MD

Original Issue Date

12/22/1970

Effective Date

12/22/1970

Expiration Date

07/31/1990

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006