MARK W MEWISSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103261

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

MEWISSEN

Suffix

Business Name

MARK W MEWISSEN MD

Original Issue Date

08/14/2000

Effective Date

08/14/2000

Expiration Date

07/31/2002

City

MILWAUKEE

State

Zip

53215

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006