JOSEPH CHARLES DITZLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041751

License Status

NOT RENEWED

Business

First Name

JOSEPH CHARLES

Last Name

DITZLER

Suffix

Business Name

JOSEPH CHARLES DITZLER MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006