BRENTLEY A BUCHELE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

BRENTLEY A

Last Name

BUCHELE

Suffix

Business Name

BRENTLEY A BUCHELE MD

Original Issue Date

11/05/1985

Effective Date

11/05/1985

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006