KURT ALFRED FICHTNER 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

KURT

Middle

ALFRED

Last Name

FICHTNER

Suffix

Business Name

KURT ALFRED FICHTNER MD

Original Issue Date

03/08/2006

Effective Date

03/08/2006

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008