Matthew Jay Wise
Medical - Telemedicine
Minnesota 1089 Canceled
This Minnesota license was held by Matthew Jay Wise. The license is no longer active. It was granted on 07/08/2004 and expired on 12/31/2006
LICENSE DETAILS
- License Number: 1089
- Category: Telemedicine
- Status: Canceled
- Date Granted: 07/08/2004 (almost 20 years ago)
- Expiry Date: 12/31/2006 (over 17 years ago)
LOCATIONS
A Address
222 Nizhoni Blvd., Suite F5, Gallup, NM 87301