TERRANCE WISEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045026

License Status

NOT RENEWED

Business

First Name

TERRANCE

Last Name

WISEMAN

Suffix

Business Name

TERRANCE WISEMAN MD

Original Issue Date

11/24/1971

Effective Date

11/24/1971

Expiration Date

07/31/1984

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006