MARY A HEGENBARTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069133

License Status

INACTIVE

Business

First Name

MARY A

Last Name

HEGENBARTH

Suffix

Business Name

MARY A HEGENBARTH MD

Original Issue Date

08/03/1984

Effective Date

08/03/1984

Expiration Date

07/31/1987

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006