GEORGE WILDING MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092542

License Status

INACTIVE

Business

First Name

GEORGE

Last Name

WILDING

Suffix

Business Name

GEORGE WILDING MD

Original Issue Date

03/26/1996

Effective Date

03/26/1996

Expiration Date

07/31/2002

City

VERNONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006