MARK A WIECHERT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

WIECHERT

Suffix

Business Name

MARK A WIECHERT MD

Original Issue Date

11/14/1990

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023