ROBERT JEROME WIENECKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110324

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JEROME

Last Name

WIENECKE

Suffix

Business Name

ROBERT JEROME WIENECKE MD

Original Issue Date

10/17/2003

Effective Date

10/17/2003

Expiration Date

07/31/2005

City

OKLAHOMA CITY

State

Zip

73118

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/09/2006