JOEL WILLIAM NIEBUHR DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117323

License Status

INACTIVE

Business

First Name

JOEL

Middle

WILLIAM

Last Name

NIEBUHR

Suffix

Business Name

JOEL WILLIAM NIEBUHR DO

Original Issue Date

12/14/2006

Effective Date

07/14/2008

Expiration Date

07/31/2011

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/07/2011