MARK LANGENFELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048514

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

LANGENFELD

Suffix

Business Name

MARK LANGENFELD MD

Original Issue Date

12/18/1973

Effective Date

12/18/1973

City

WAUKESHA

State

Zip

53236

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006