MELANIE R MUETH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106008

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

MUETH

Business Name

MELANIE R MUETH

Original Issue Date

12/19/2001

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017