WALTER JOSEPH WIECHETEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108673

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

JOSEPH

Last Name

WIECHETEK

Suffix

Business Name

WALTER JOSEPH WIECHETEK MD

Original Issue Date

02/26/2003

Effective Date

02/26/2003

Expiration Date

07/31/2005

City

BAYONNE

State

Zip

07002

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/09/2006