FREDRICK HUBERT WALLISCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097064

License Status

ACTIVE

Business

First Name

FREDRICK

Middle

HUBERT

Last Name

WALLISCH

Suffix

Business Name

FREDRICK HUBERT WALLISCH MD

Original Issue Date

12/05/1997

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

LEBANON

State

Zip

37087

Ever Disciplined

LastModifiedDate

07/29/2023