DONALD WILTZ FABACHER MD - Medical Doctor License in Louisiana | # 036139477

DONALD WILTZ FABACHER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139477

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DONALD

Middle

WILTZ

Last Name

FABACHER

Business Name

DONALD WILTZ FABACHER MD

Original Issue Date

12/10/2015

Effective Date

09/03/2020

Expiration Date

07/31/2023

State

LA

Ever Disciplined

N

LastModifiedDate

11/30/2023