ERNEST EDWARD ERTMOED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

ERNEST EDWARD

Last Name

ERTMOED

Suffix

Business Name

ERNEST EDWARD ERTMOED MD

Original Issue Date

08/26/1981

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023