ROLAND BALDWIN MERNITZ JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038533

License Status

INACTIVE

Business

First Name

ROLAND BALDWIN

Last Name

MERNITZ JR

Suffix

Business Name

ROLAND BALDWIN MERNITZ JR MD

Original Issue Date

08/13/1963

Effective Date

08/13/1963

Expiration Date

07/31/1987

City

WABASH

State

Zip

46992

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006