DEBORAH M REISEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081385

License Status

INACTIVE

Business

First Name

DEBORAH M

Last Name

REISEN

Suffix

Business Name

DEBORAH M REISEN MD

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

07/31/1996

City

FISH CREEK

State

Zip

54212

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006