FREDERICK J WUNKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082528

License Status

NOT RENEWED

Business

First Name

FREDERICK J

Last Name

WUNKER

Suffix

Business Name

FREDERICK J WUNKER MD

Original Issue Date

06/06/1991

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2010009415

Action

Suspension

Discipline Start Date

09/07/2012

Discipline Reason

due to his failure to submit to a mental and/or physicial examination and/or evaluation ordered by the Medical Disciplinary Board.