RALPH W TEMPLIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

TEMPLIN

Business Name

RALPH W TEMPLIN

Original Issue Date

12/15/2008

Effective Date

12/15/2008

Expiration Date

07/31/2011

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020