HANS MICHAEL VON MARENSDORFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

HANS

Middle

MICHAEL

Last Name

VON MARENSDORFF

Business Name

HANS MICHAEL VON MARENSDORFF MD

Original Issue Date

01/02/2018

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023