PAUL R SUMMERSIDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074503

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

SUMMERSIDE

Suffix

Business Name

PAUL R SUMMERSIDE MD

Original Issue Date

02/16/1987

Effective Date

02/16/1987

Expiration Date

07/31/1990

City

DE PERE

State

Zip

54115

County

BROWN

Ever Disciplined

LastModifiedDate

11/09/2011