MELANIE R MUETH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

MUETH

Business Name

MELANIE R MUETH

Original Issue Date

04/12/2002

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017