CHAD MICHAEL RONHOLM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

CHAD

Middle

MICHAEL

Last Name

RONHOLM

Business Name

CHAD MICHAEL RONHOLM MD

Original Issue Date

08/15/2012

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63005

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023