MICHAEL ANTHONY WERCKLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041247

License Status

NOT RENEWED

Business

First Name

MICHAEL ANTHONY

Last Name

WERCKLE

Suffix

Business Name

MICHAEL ANTHONY WERCKLE MD

Original Issue Date

07/28/1967

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021