CHARLES E WIRTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078952

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

WIRTZ

Suffix

Business Name

CHARLES E WIRTZ MD

Original Issue Date

05/26/1989

Effective Date

05/26/1989

Expiration Date

07/31/1993

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006