JOELLE M MENGANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

JOELLE

Middle

Last Name

MENGANG

Business Name

JOELLE M MENGANG MD

Original Issue Date

09/25/2013

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023