CHARLES GORDON WIELAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

CHARLES GORDON

Last Name

WIELAND

Suffix

Business Name

CHARLES GORDON WIELAND MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011