HENRY R WIENKE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050194

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

Last Name

WIENKE

Suffix

JR MD

Business Name

HENRY R WIENKE JR MD

Original Issue Date

10/10/1974

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

PARADISE VALLEY

State

Zip

85253

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/17/2014