LYDIA LOU WEYENBERG MD - Medical Doctor License in Wisconsin | # 036164500

LYDIA LOU WEYENBERG MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164500

License Status

ACTIVE

Business

N

Title

MD

First Name

LYDIA

Middle

LOU

Last Name

WEYENBERG

Business Name

LYDIA LOU WEYENBERG MD

Original Issue Date

04/24/2023

Effective Date

04/24/2023

Expiration Date

07/31/2026

State

WI

Ever Disciplined

N

LastModifiedDate

07/10/2023