TERENCE G KLINGELE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

TERENCE G

Last Name

KLINGELE

Suffix

Business Name

TERENCE G KLINGELE MD

Original Issue Date

11/17/1999

Effective Date

11/17/1999

Expiration Date

07/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020