DAVID M ISRAELSTAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ISRAELSTAM

Suffix

Business Name

DAVID M ISRAELSTAM MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

MADISON

State

Zip

53719

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2013

Case Number

2013001982

Action

Suspension

Discipline Start Date

05/20/2013

Discipline Reason

due to being disciplined by the state of Wisconsin.