RICHARD H WIEDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

WIEDER

Suffix

Business Name

RICHARD H WIEDER MD

Original Issue Date

06/20/1990

Effective Date

06/20/1990

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011