JUSTIN G WIKLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059182

License Status

EXPIRED

Business

First Name

JUSTIN

Middle

Last Name

WIKLE

Business Name

JUSTIN G WIKLE

Original Issue Date

06/27/2011

Effective Date

06/27/2011

Expiration Date

06/26/2012

City

IOWA CITY

State

Zip

52240

County

JOHNSON

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/29/2012