DONALD WILTZ FABACHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139477

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

WILTZ

Last Name

FABACHER

Business Name

DONALD WILTZ FABACHER MD

Original Issue Date

12/10/2015

Effective Date

09/03/2020

Expiration Date

07/31/2023

City

HARAHAN

State

Zip

70123

Ever Disciplined

LastModifiedDate

11/30/2023