CRAIG A WITTENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026419

License Status

EXPIRED

Business

First Name

CRAIG A

Last Name

WITTENBERG

Suffix

Business Name

CRAIG A WITTENBERG MD

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

06/30/1994

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006