CHEREKA SHANTAE KLUTTZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

CHEREKA

Middle

SHANTAE

Last Name

KLUTTZ

Business Name

CHEREKA SHANTAE KLUTTZ DO

Original Issue Date

09/17/2025

Effective Date

09/17/2025

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2025