PEIRUCH WICHIEKUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

PEIRUCH

Last Name

WICHIEKUER

Suffix

Business Name

PEIRUCH WICHIEKUER MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006