MARK J WOLFMEYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047489

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

WOLFMEYER

Suffix

Business Name

MARK J WOLFMEYER MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

07/31/2008