ROBERT E PIETSCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057787

License Status

ACTIVE

Business

First Name

ROBERT E

Last Name

PIETSCH

Suffix

Business Name

ROBERT E PIETSCH DO

Original Issue Date

09/15/1978

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/17/2023