LISA MARIE WERNER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130887

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

MARIE

Last Name

WERNER

Business Name

LISA MARIE WERNER DO

Original Issue Date

07/18/2012

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

GAHANNA

State

Zip

43230

County

OHIO

Ever Disciplined

LastModifiedDate

11/01/2017