W LAURENCE WICKLER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055570

License Status

NOT RENEWED

Business

First Name

W LAURENCE

Last Name

WICKLER

Suffix

Business Name

W LAURENCE WICKLER DO

Original Issue Date

08/22/1977

Effective Date

08/22/1977

Expiration Date

07/31/1987

City

CEDAR CITY

State

Zip

84720

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006