ERNEST EDWARD ERTMOED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062213

License Status

ACTIVE

Business

First Name

ERNEST EDWARD

Last Name

ERTMOED

Suffix

Business Name

ERNEST EDWARD ERTMOED MD

Original Issue Date

06/02/1981

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/18/2023