BRIAN DANIEL WERNICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146648

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DANIEL

Last Name

WERNICK

Business Name

BRIAN DANIEL WERNICK

Original Issue Date

06/28/2018

Effective Date

06/28/2018

Expiration Date

09/30/2020

City

BETHLEHEM

State

Zip

18015

Ever Disciplined

LastModifiedDate

01/14/2021