DON EDWARD WIESE II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122343

License Status

NOT RENEWED

Business

First Name

DON

Middle

EDWARD

Last Name

WIESE

Suffix

II MD

Business Name

DON EDWARD WIESE II MD

Original Issue Date

12/16/2008

Effective Date

12/16/2008

Expiration Date

07/31/2011

City

SAINT PAUL

State

Zip

55101

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011