MARLA SUE MONDSCHEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

MARLA SUE

Last Name

MONDSCHEIN

Suffix

Business Name

MARLA SUE MONDSCHEIN MD

Original Issue Date

10/25/1996

Effective Date

10/25/1996

Expiration Date

07/31/1999

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006