JOSEPH DANA VERZWYVELT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137879

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

DANA

Last Name

VERZWYVELT

Business Name

JOSEPH DANA VERZWYVELT MD

Original Issue Date

04/29/2015

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

WEST SALEM

State

Zip

54669

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021