DOUGLAS M DEWIRE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090445

License Status

INACTIVE

Business

First Name

DOUGLAS M

Last Name

DEWIRE

Business Name

DOUGLAS M DEWIRE

Original Issue Date

04/01/1995

Effective Date

04/01/1995

Expiration Date

07/31/1996

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006