GARRY G WISEMAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002913

License Status

NOT RENEWED

Business

First Name

GARRY G

Last Name

WISEMAN

Business Name

GARRY G WISEMAN

Original Issue Date

06/24/1976

Effective Date

06/24/1976

City

WHITING

State

Zip

46394

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006