ERIC C TRAUTMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

ERIC C

Last Name

TRAUTMANN

Suffix

Business Name

ERIC C TRAUTMANN MD

Original Issue Date

03/22/1991

Effective Date

03/22/1991

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020