BRIAN VERNON WIETHOP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105648

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

VERNON

Last Name

WIETHOP

Suffix

Business Name

BRIAN VERNON WIETHOP MD

Original Issue Date

09/27/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011