CONRAD PAUL WIET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036231

License Status

NOT RENEWED

Business

First Name

CONRAD PAUL

Last Name

WIET

Suffix

Business Name

CONRAD PAUL WIET MD

Original Issue Date

11/20/1959

Effective Date

11/20/1959

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006