RICHARD H WIEDER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079830

License Status

INACTIVE

Business

First Name

RICHARD

Middle

Last Name

WIEDER

Suffix

Business Name

RICHARD H WIEDER MD

Original Issue Date

05/21/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SAINT LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011