TRACEY L WEIGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094106

License Status

NOT RENEWED

Business

First Name

TRACEY L

Last Name

WEIGEL

Suffix

Business Name

TRACEY L WEIGEL MD

Original Issue Date

08/27/1996

Effective Date

08/27/1996

Expiration Date

07/31/1999

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/17/2012