PAUL EARL LOETHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

PAUL

Middle

EARL

Last Name

LOETHEN

Suffix

Business Name

PAUL EARL LOETHEN MD

Original Issue Date

06/24/2009

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023