FREDERICK J WUNKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

FREDERICK J

Last Name

WUNKER

Suffix

Business Name

FREDERICK J WUNKER MD

Original Issue Date

07/24/2008

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011