LEAH JEAN WITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136148

License Status

NOT RENEWED

Business

Title

First Name

LEAH

Middle

JEAN

Last Name

WITT

Business Name

LEAH JEAN WITT MD

Original Issue Date

08/05/2014

Effective Date

08/05/2014

Expiration Date

07/31/2017

City

LA CROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017