DIETMAR J GRENTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

DIETMAR J

Last Name

GRENTZ

Suffix

Business Name

DIETMAR J GRENTZ MD

Original Issue Date

10/29/1992

Effective Date

10/29/1992

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011