MARILYNN S DEWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MARILYNN S

Last Name

DEWALD

Suffix

Business Name

MARILYNN S DEWALD MD

Original Issue Date

10/27/1988

Effective Date

10/27/1988

Expiration Date

07/31/1990

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006