GREG L ICHTERTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

GREG L

Last Name

ICHTERTZ

Suffix

Business Name

GREG L ICHTERTZ MD

Original Issue Date

12/30/1982

Effective Date

12/30/1982

Expiration Date

07/31/1993

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011