WAYNE MARK KEISERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056583

License Status

NOT RENEWED

Business

First Name

WAYNE MARK

Last Name

KEISERMAN

Suffix

Business Name

WAYNE MARK KEISERMAN MD

Original Issue Date

03/21/1978

Effective Date

03/21/1978

Expiration Date

07/31/1996

City

GREENBAY

State

Zip

54344

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/16/2008