CARL JAMES WACKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034901

License Status

INACTIVE

Business

First Name

CARL JAMES

Last Name

WACKER

Suffix

Business Name

CARL JAMES WACKER MD

Original Issue Date

08/23/1957

Effective Date

08/23/1957

Expiration Date

07/31/1999

City

MENDOTA

State

Zip

61342

County

BUREAU

Ever Disciplined

LastModifiedDate

09/20/2006