ANDREW MICHAEL WIESENTHAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058612

License Status

INACTIVE

Business

First Name

ANDREW MICHAEL

Last Name

WIESENTHAL

Suffix

Business Name

ANDREW MICHAEL WIESENTHAL MD

Original Issue Date

04/19/1979

Effective Date

04/19/1979

Expiration Date

07/31/1984

City

OAKLAND

State

Zip

94612

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006