MEGAN ELIZABETH MAROLT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

MEGAN

Middle

ELIZABETH

Last Name

MAROLT

Business Name

MEGAN ELIZABETH MAROLT MD

Original Issue Date

11/28/2022

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023