JOHN WAYNE FIENHOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

WAYNE

Last Name

FIENHOLD

Suffix

Business Name

JOHN WAYNE FIENHOLD MD

Original Issue Date

08/25/2004

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017