LOUIS B MENDELLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

LOUIS

Middle

Last Name

MENDELLA

Suffix

Business Name

LOUIS B MENDELLA DO

Original Issue Date

02/24/2005

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023