MELANIE J WAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152881

License Status

ACTIVE

Business

Title

First Name

MELANIE

Middle

Last Name

WAHL

Business Name

MELANIE J WAHL MD

Original Issue Date

05/06/2020

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

06/07/2023