CLYDE LEE WIELAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034319

License Status

NOT RENEWED

Business

First Name

CLYDE LEE

Last Name

WIELAND

Suffix

Business Name

CLYDE LEE WIELAND MD

Original Issue Date

09/07/1956

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

1984000648

Action

Suspension

Discipline Start Date

12/12/1985

Discipline End Date

12/12/1985