ROBERT JEROME WIENECKE MD - Medical Doctor License in Oklahoma | # 036110324

ROBERT JEROME WIENECKE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110324

License Status

NOT RENEWED

Business

N

First Name

ROBERT

Middle

JEROME

Last Name

WIENECKE

Suffix

MD

Business Name

ROBERT JEROME WIENECKE MD

Original Issue Date

10/17/2003

Effective Date

10/17/2003

Expiration Date

07/31/2005

State

OK

Ever Disciplined

N

LastModifiedDate

10/09/2006