WALDEMAR W PLACHTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

WALDEMAR W

Last Name

PLACHTA

Suffix

Business Name

WALDEMAR W PLACHTA MD

Original Issue Date

04/19/1991

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017