WILLIAM A SACKSTEDER 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

WILLIAM A

Last Name

SACKSTEDER

Suffix

Business Name

WILLIAM A SACKSTEDER MD

Original Issue Date

08/08/1988

Effective Date

08/08/1988

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006