TERENCE G KLINGELE 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

TERENCE G

Last Name

KLINGELE

Suffix

Business Name

TERENCE G KLINGELE MD

Original Issue Date

01/01/1997

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021