MARK WILLIAM GREENWELL 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

Middle

WILLIAM

Last Name

GREENWELL

Suffix

Business Name

MARK WILLIAM GREENWELL MD

Original Issue Date

05/04/2006

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011