WENNER DUDLEY JOHNSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034437

License Status

NOT RENEWED

Business

First Name

WENNER

Middle

DUDLEY

Last Name

JOHNSON

Business Name

WENNER DUDLEY JOHNSON

Original Issue Date

12/03/1956

Effective Date

12/03/1956

Expiration Date

07/01/1972

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006