ERIC MENZNER DORN MD - Medical Doctor License in Wisconsin | # 036163156

ERIC MENZNER DORN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163156

License Status

INACTIVE

Business

N

Title

MD

First Name

ERIC

Middle

MENZNER

Last Name

DORN

Business Name

ERIC MENZNER DORN MD

Original Issue Date

12/12/2022

Effective Date

12/12/2022

Expiration Date

07/31/2023

State

WI

Ever Disciplined

N

LastModifiedDate

04/04/2023