PETER BARTELS MALENCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

PETER BARTELS

Last Name

MALENCH

Suffix

Business Name

PETER BARTELS MALENCH MD

Original Issue Date

12/12/1994

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017