LYDIA LOU WEYENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070588

License Status

EXPIRED

Business

Title

First Name

LYDIA

Middle

LOU

Last Name

WEYENBERG

Business Name

LYDIA LOU WEYENBERG MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

NEENAH

State

Zip

54956

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022