DIANE K WERTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068773

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

WERTH

Suffix

Business Name

DIANE K WERTH MD

Original Issue Date

06/08/1984

Effective Date

06/08/1984

Expiration Date

07/31/1987

City

SIOUX CITY

State

Zip

51104

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006