JOHN RICHARD WITTENBORN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

JOHN RICHARD

Last Name

WITTENBORN JR

Suffix

Business Name

JOHN RICHARD WITTENBORN JR MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MONTICELLO

State

Zip

61856

County

PIATT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006