CLYDE LEE WIELAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

CLYDE LEE

Last Name

WIELAND

Suffix

Business Name

CLYDE LEE WIELAND MD

Original Issue Date

01/01/1997

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011