IAN A WEISSMAN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095575

License Status

INACTIVE

Business

First Name

IAN

Middle

Last Name

WEISSMAN

Suffix

Business Name

IAN A WEISSMAN DO

Original Issue Date

06/03/1997

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014