ROBERT D WIENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

WIENS

Suffix

Business Name

ROBERT D WIENS MD

Original Issue Date

09/30/1988

Effective Date

09/30/1988

Expiration Date

07/31/1996

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006