MARIO GELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049500

License Status

NOT RENEWED

Business

First Name

MARIO

Last Name

GELLER

Suffix

Business Name

MARIO GELLER MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006