License holder summary

MATTHEW JAY WISE is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MATTHEW JAY WISE is Gallup NM 87301. This medical practitioner license is not current. The license was granted 03/04/2005 and expired on 12/31/2006.

Department of State

Board of Medicine

MATTHEW JAY WISE
Medical Physician And Surgeon
License number
MD425864
Date granted
03/04/2005
Date expires
12/31/2006
Class
Medical Physician And Surgeon
Status
Revoked
Address
Gallup NM 87301
medicinepa.com
ID 37690203
LAST UPDATED 2024-04-01 13:14:17 UTC

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