TERENCE G KLINGELE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

TERENCE G

Last Name

KLINGELE

Suffix

Business Name

TERENCE G KLINGELE MD

Original Issue Date

08/02/2001

Effective Date

08/02/2001

Expiration Date

07/31/2005

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020