RHODA JEAN GOTTFRIED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

RHODA

Middle

JEAN

Last Name

GOTTFRIED

Business Name

RHODA JEAN GOTTFRIED MD

Original Issue Date

02/06/2013

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021