DAVID M ISRAELSTAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045545

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ISRAELSTAM

Suffix

Business Name

DAVID M ISRAELSTAM MD

Original Issue Date

03/27/1972

Effective Date

03/27/1972

Expiration Date

07/31/2005

City

MADISON

State

Zip

53705

Ever Disciplined

LastModifiedDate

05/29/2013

Case Number

2001002712

Action

Reprimand

Discipline Start Date

04/17/2007

Discipline Reason

after being disciplined in the state of Wisconsin.