KURT J WARKENTHIEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080295

License Status

NOT RENEWED

Business

First Name

KURT J

Last Name

WARKENTHIEN

Business Name

KURT J WARKENTHIEN

Original Issue Date

07/09/1990

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/05/2015

Case Number

2015008094

Action

Refuse To Renew

Discipline Start Date

10/23/2015

Discipline Reason

due to sister-state discipline in the state of Washington for failure to comply with his Physician Health Program Agreement.