RONALD MICHAEL HOFMANN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

MICHAEL

Last Name

HOFMANN

Business Name

RONALD MICHAEL HOFMANN

Original Issue Date

12/08/2010

Effective Date

08/02/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014