RICHARD GEORGE MOUTVIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

RICHARD GEORGE

Last Name

MOUTVIC

Suffix

Business Name

RICHARD GEORGE MOUTVIC MD

Original Issue Date

01/01/1997

Effective Date

03/16/2012

Expiration Date

07/31/2014

City

CRETE

State

Zip

60417

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020