LYDIA LOU WEYENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164500

License Status

ACTIVE

Business

Title

First Name

LYDIA

Middle

LOU

Last Name

WEYENBERG

Business Name

LYDIA LOU WEYENBERG MD

Original Issue Date

04/24/2023

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

NEENAH

State

Zip

54956

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2023