RONALD FINE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119855

License Status

NOT RENEWED

Business

First Name

RONALD

Last Name

FINE

Business Name

RONALD FINE

Original Issue Date

12/17/2007

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021