GREGORY H PAE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081225

License Status

INACTIVE

Business

First Name

GREGORY H

Last Name

PAE

Suffix

Business Name

GREGORY H PAE MD

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

07/31/1996

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006