Matthew Jay Wise
Medical - Physician
Colorado 43972 Expired
This Colorado license was held by Matthew Jay Wise. The license is no longer active. It was granted on 09/06/2005 and expired on 05/31/2007
LICENSE DETAILS
- License Number: 43972
- Category: Physician
- Status: Expired
- Date Granted: 09/06/2005 (over 18 years ago)
- Expiry Date: 05/31/2007 (almost 17 years ago)
LOCATIONS
A Address
516 Nizhoni Blvd, Gallup, NM, 87301-7301