REBECCA A WIESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071850

License Status

NOT RENEWED

Business

First Name

REBECCA A

Last Name

WIESE

Suffix

Business Name

REBECCA A WIESE MD

Original Issue Date

10/10/1985

Effective Date

10/10/1985

Expiration Date

07/31/2005

City

DAVENPORT

State

Zip

52801

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006