RALPH M WYNN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

RALPH M

Last Name

WYNN

Suffix

Business Name

RALPH M WYNN MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1984

City

ALBUQUERQUE

State

Zip

87131

County

NEW MEXICO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006