AMANDA J BITTNER - Medical Doctor License in Illinois | # 125034213

AMANDA J BITTNER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034213

License Status

EXPIRED

Business

N

First Name

AMANDA

Middle

J

Last Name

BITTNER

Business Name

AMANDA J BITTNER

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

06/17/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006