CHAD MICHAEL RONHOLM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

CHAD

Middle

MICHAEL

Last Name

RONHOLM

Business Name

CHAD MICHAEL RONHOLM MD

Original Issue Date

10/12/2012

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63117

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021