STEVEN K WIESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077832

License Status

NOT RENEWED

Business

First Name

STEVEN K

Last Name

WIESE

Suffix

Business Name

STEVEN K WIESE MD

Original Issue Date

09/07/1988

Effective Date

09/07/1988

Expiration Date

07/31/1990

City

ALBERT LEA

State

Zip

56007

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006