MARK MENCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

MENCH

Suffix

Business Name

MARK MENCH MD

Original Issue Date

03/10/1983

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023