HELEN L WIEDEMER LAIB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

HELEN L WIEDEMER

Last Name

LAIB

Suffix

Business Name

HELEN L WIEDEMER LAIB MD

Original Issue Date

05/13/1986

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021