WISE, MATTHEW JAY, MD
Medical - Physician
Georgia 055905 Inactive
This Georgia license was held by WISE, MATTHEW JAY, MD. The license is no longer active. It was granted on 03/04/2005 and expired on 10/31/2007
LICENSE DETAILS
- License Number: 055905
- Category: Physician
- Status: Inactive
- Date Granted: 03/04/2005 (over 21 years ago)
- Expiry Date: 10/31/2007 (almost 19 years ago)
LOCATIONS
A Address
516 NIZHONI BLVD, GALLUP 87301