MICHAEL J MEINZEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

MEINZEN

Suffix

Business Name

MICHAEL J MEINZEN MD

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

07/31/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006