MARK L BOETTGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

BOETTGER

Suffix

Business Name

MARK L BOETTGER MD

Original Issue Date

08/16/1983

Effective Date

08/16/1983

Expiration Date

07/31/1987

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006