WALTER DANIEL MORITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039717

License Status

NOT RENEWED

Business

First Name

WALTER DANIEL

Last Name

MORITZ

Suffix

Business Name

WALTER DANIEL MORITZ MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

Expiration Date

07/31/2002

City

FORT ATKINSON

State

Zip

53538

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006