LYDIA LOU WEYENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

LYDIA

Middle

LOU

Last Name

WEYENBERG

Business Name

LYDIA LOU WEYENBERG MD

Original Issue Date

05/03/2024

Effective Date

05/03/2024

Expiration Date

07/31/2026

City

NEENAH

State

Zip

54956

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024