License holder summary

MARK EDWARD WISEMAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MARK EDWARD WISEMAN is Athens PA 18810. This medical practitioner license is current. The license was granted 05/02/2014 and expired on 06/23/2017.

Department of State

Board of Medicine

MARK EDWARD WISEMAN
Graduate Medical Trainee
License number
MT206443
Date granted
05/02/2014
Date expires
06/23/2017
Class
Graduate Medical Trainee
Status
Active
Address
Athens PA 18810
medicinepa.com
ID 37577701
LAST UPDATED 2024-03-22 15:40:19 UTC

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