LEE SAMUEL WANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092937

License Status

NOT RENEWED

Business

First Name

LEE SAMUEL

Last Name

WANN

Suffix

Business Name

LEE SAMUEL WANN MD

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

07/31/2002

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006