MARY L GANZ DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063046

License Status

INACTIVE

Business

First Name

MARY L

Last Name

GANZ

Suffix

Business Name

MARY L GANZ DO

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1987

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006