DIETOLF ROTHFUSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055692

License Status

NOT RENEWED

Business

First Name

DIETOLF

Last Name

ROTHFUSS

Suffix

Business Name

DIETOLF ROTHFUSS MD

Original Issue Date

09/23/1977

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/06/2008