MICHAEL ERIC KOTTWITZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062756

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

ERIC

Last Name

KOTTWITZ

Suffix

Business Name

MICHAEL ERIC KOTTWITZ MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

01/21/2016