DENISE L WERNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100462

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

WERNER

Suffix

Business Name

DENISE L WERNER MD

Original Issue Date

06/29/1999

Effective Date

06/29/1999

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006