WILLIAM EDWARD MUNDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

WILLIAM EDWARD

Last Name

MUNDT

Suffix

Business Name

WILLIAM EDWARD MUNDT MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

MONTICELLO

State

Zip

61856

County

PIATT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006