KENNETH W WALLMEYER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077253

License Status

INACTIVE

Business

First Name

KENNETH W

Last Name

WALLMEYER

Suffix

Business Name

KENNETH W WALLMEYER MD

Original Issue Date

06/30/1988

Effective Date

06/30/1988

Expiration Date

07/31/1990

City

MADISON

State

Zip

53717

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006