ROBERT GERALD KLITZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

GERALD

Last Name

KLITZMAN

Business Name

ROBERT GERALD KLITZMAN MD

Original Issue Date

03/22/2006

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014