JOHN M WIESENFARTH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000286

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

WIESENFARTH

Business Name

JOHN M WIESENFARTH

Original Issue Date

08/11/1995

Effective Date

08/11/1995

Expiration Date

11/30/1995

City

SACRAMENTO

State

Zip

95864

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/25/2006