CHRISTINE L WILDEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111651

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

WILDEMAN

Suffix

Business Name

CHRISTINE L WILDEMAN MD

Original Issue Date

06/21/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Ever Disciplined

LastModifiedDate

11/06/2008