JAMES V MENDENHALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

MENDENHALL

Suffix

Business Name

JAMES V MENDENHALL MD

Original Issue Date

09/15/2006

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021