JOHANNA O SEITZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016269

License Status

EXPIRED

Business

First Name

JOHANNA O

Last Name

SEITZ

Suffix

Business Name

JOHANNA O SEITZ MD

Original Issue Date

07/26/1983

Effective Date

07/26/1983

Expiration Date

07/01/1985

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006