MATTHEW LEE MUNDWILER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

LEE

Last Name

MUNDWILER

Suffix

Business Name

MATTHEW LEE MUNDWILER MD

Original Issue Date

01/29/2008

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

COLUMBUS

State

Zip

43215

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014