MARK AEPPLI VAN ETTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

MARK AEPPLI

Last Name

VAN ETTEN

Suffix

Business Name

MARK AEPPLI VAN ETTEN MD

Original Issue Date

05/14/1981

Effective Date

05/14/1981

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006