REX EDWARD WIEDERANDERS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031612

License Status

INACTIVE

Business

First Name

REX EDWARD

Last Name

WIEDERANDERS

Suffix

Business Name

REX EDWARD WIEDERANDERS MD

Original Issue Date

09/09/1952

Effective Date

09/09/1952

Expiration Date

07/31/1987

City

WILLISTON

State

Zip

58801

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

09/20/2006