TINA J ECKHARDT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

TINA

Middle

Last Name

ECKHARDT

Suffix

Business Name

TINA J ECKHARDT MD

Original Issue Date

04/05/2006

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023