LAUREL WIEGAND MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065361

License Status

INACTIVE

Business

First Name

LAUREL

Last Name

WIEGAND

Suffix

Business Name

LAUREL WIEGAND MD

Original Issue Date

09/20/1982

Effective Date

09/20/1982

Expiration Date

07/31/1987

City

HERSHEY

State

Zip

17033

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006