ALLAN R MOTTRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117794

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

Last Name

MOTTRAM

Suffix

Business Name

ALLAN R MOTTRAM MD

Original Issue Date

03/07/2007

Effective Date

07/26/2017

Expiration Date

09/30/2020

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021