ANDREW MICHAEL WIESENTHAL MD - Medical Doctor License in California | # 036058612

ANDREW MICHAEL WIESENTHAL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058612

License Status

INACTIVE

Business

N

First Name

ANDREW MICHAEL

Last Name

WIESENTHAL

Suffix

MD

Business Name

ANDREW MICHAEL WIESENTHAL MD

Original Issue Date

04/19/1979

Effective Date

04/19/1979

Expiration Date

07/31/1984

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006