MATTHEW JAY WISE
Medical Physician And Surgeon
Pennsylvania MD425864 Revoked
This Pennsylvania license was held by MATTHEW JAY WISE. The license is no longer active. It was granted on 03/04/2005 and expired on 12/31/2006
LICENSE DETAILS
- License Number: MD425864
- Category: Medical Physician and Surgeon
- Status: Revoked
- Date Granted: 03/04/2005 (about 20 years ago)
- Expiry Date: 12/31/2006 (over 18 years ago)
LOCATIONS
A Address
Gallup NM 87301