NEAL LYNN KELLENBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

NEAL

Middle

LYNN

Last Name

KELLENBERGER

Business Name

NEAL LYNN KELLENBERGER MD

Original Issue Date

08/02/2011

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023