AMANDA ASHLEYANN MAE WENZEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

ASHLEYANN MAE

Last Name

WENZEL

Business Name

AMANDA ASHLEYANN MAE WENZEL MD

Original Issue Date

07/24/2017

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

MILWAUKEE

State

Zip

53204

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023