JILL KATHLEEN WIRTH-RISSMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

JILL

Middle

KATHLEEN

Last Name

WIRTH-RISSMAN

Suffix

Business Name

JILL KATHLEEN WIRTH-RISSMAN MD

Original Issue Date

11/16/2007

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023