TODD WARNER ALTENBERND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

TODD WARNER

Last Name

ALTENBERND

Suffix

Business Name

TODD WARNER ALTENBERND MD

Original Issue Date

05/07/1997

Effective Date

05/07/1997

Expiration Date

07/31/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006