DEBRA A WIEDMEYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118500

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

WIEDMEYER

Suffix

Business Name

DEBRA A WIEDMEYER MD

Original Issue Date

05/29/2007

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017