JOHN M WIESENFARTH - Medical Doctor License in California | # 130000286

JOHN M WIESENFARTH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000286

License Status

EXPIRED

Business

N

First Name

JOHN

Middle

M

Last Name

WIESENFARTH

Business Name

JOHN M WIESENFARTH

Original Issue Date

08/11/1995

Effective Date

08/11/1995

Expiration Date

11/30/1995

State

CA

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/25/2006