JOEL HENRY WIETFELDT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129983

License Status

ACTIVE

Business

Title

First Name

JOEL

Middle

HENRY

Last Name

WIETFELDT

Business Name

JOEL HENRY WIETFELDT MD

Original Issue Date

04/05/2012

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2023