KENNETH W WALLMEYER MD - Medical Doctor License in Wisconsin | # 036077253

KENNETH W WALLMEYER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077253

License Status

INACTIVE

Business

N

First Name

KENNETH W

Last Name

WALLMEYER

Suffix

MD

Business Name

KENNETH W WALLMEYER MD

Original Issue Date

06/30/1988

Effective Date

06/30/1988

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006