STEVEN P WITTMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

STEVEN P

Last Name

WITTMER

Suffix

Business Name

STEVEN P WITTMER MD

Original Issue Date

01/05/1983

Effective Date

08/20/2009

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011