KENNETH CARL WIEBE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036984

License Status

NOT RENEWED

Business

First Name

KENNETH CARL

Last Name

WIEBE

Suffix

Business Name

KENNETH CARL WIEBE MD

Original Issue Date

12/01/1960

Effective Date

12/01/1960

Expiration Date

07/31/1987

City

OXNARD

State

Zip

93030

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006