MARTHA A WIEDMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065532

License Status

INACTIVE

Business

First Name

MARTHA

Middle

Last Name

WIEDMAN

Suffix

Business Name

MARTHA A WIEDMAN MD

Original Issue Date

10/19/1982

Effective Date

10/19/1982

Expiration Date

07/31/1987

City

SANTA ANA

State

Zip

92705

Ever Disciplined

LastModifiedDate

04/14/2011

Case Number

1987002162

Action

Probation

Discipline Start Date

06/08/1987

Discipline End Date

04/20/1992