JEFFREY P WILWERT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024487

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

WILWERT

Business Name

JEFFREY P WILWERT

Original Issue Date

07/25/1989

Effective Date

07/25/1989

Expiration Date

07/19/1992

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006

Case Number

1989005752

Action

Probation

Discipline Start Date

07/20/1989

Discipline End Date

07/20/1992