MELANIE J WAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

MELANIE

Middle

Last Name

WAHL

Business Name

MELANIE J WAHL MD

Original Issue Date

05/27/2020

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

SPARTA

State

Zip

62286

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023