THOMAS L HARTJES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

THOMAS L

Last Name

HARTJES

Business Name

THOMAS L HARTJES

Original Issue Date

09/16/1981

Effective Date

09/16/1981

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006