CORY D SPENCER Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073735

License Status

INACTIVE

Business

First Name

CORY D

Last Name

SPENCER

Business Name

CORY D SPENCER

Original Issue Date

09/11/1986

Effective Date

09/11/1986

Expiration Date

07/31/1987

City

APPLETON

State

Zip

54915

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006