WAYNE WILLIAM CHARLAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103763

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

WILLIAM

Last Name

CHARLAND

Suffix

Business Name

WAYNE WILLIAM CHARLAND MD

Original Issue Date

11/03/2000

Effective Date

11/03/2000

Expiration Date

07/31/2005

City

GREEN BAY

State

Zip

54311

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006