JOHN TITUS DOERFEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156842

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

TITUS

Last Name

DOERFEL

Business Name

JOHN TITUS DOERFEL MD

Original Issue Date

05/05/2021

Effective Date

05/05/2021

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61114

County

ADAMS

Ever Disciplined

LastModifiedDate

11/30/2023