WILLIAM EDWARD MUNDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036652

License Status

NOT RENEWED

Business

First Name

WILLIAM EDWARD

Last Name

MUNDT

Suffix

Business Name

WILLIAM EDWARD MUNDT MD

Original Issue Date

09/01/1960

Effective Date

09/01/1960

Expiration Date

07/31/2002

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

10/09/2006