JEROME LUDWIG BETTAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

JEROME LUDWIG

Last Name

BETTAG

Suffix

Business Name

JEROME LUDWIG BETTAG MD

Original Issue Date

09/11/1987

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017