RICHARD HENRY WIKIERA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

HENRY

Last Name

WIKIERA

Business Name

RICHARD HENRY WIKIERA DO

Original Issue Date

06/17/2013

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023