PAMELA JANE RUNDLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

JANE

Last Name

RUNDLE

Suffix

Business Name

PAMELA JANE RUNDLE MD

Original Issue Date

04/11/2002

Effective Date

07/08/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023