EDWARD A WOLPERT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037375

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

ALAN

Last Name

WOLPERT

Business Name

EDWARD A WOLPERT

Original Issue Date

09/19/1961

Effective Date

05/10/2011

Expiration Date

07/31/2014

City

SPRING GREEN

State

Zip

53588

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014