THEODORE W WAGENKNECHT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030358

License Status

NOT RENEWED

Business

First Name

THEODORE W

Last Name

WAGENKNECHT JR

Suffix

Business Name

THEODORE W WAGENKNECHT JR MD

Original Issue Date

11/14/1950

Effective Date

11/14/1950

Expiration Date

07/31/1999

City

CINCINNATI

State

Zip

45208

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006