IVAN B SCHALLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066515

License Status

INACTIVE

Business

First Name

IVAN B

Last Name

SCHALLER

Suffix

Business Name

IVAN B SCHALLER MD

Original Issue Date

05/12/1983

Effective Date

05/12/1983

Expiration Date

07/31/1987

City

WAUSAU

State

Zip

54401

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006