JEROME A KLOBUTCHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JEROME A

Last Name

KLOBUTCHER

Suffix

Business Name

JEROME A KLOBUTCHER MD

Original Issue Date

01/07/1982

Effective Date

08/19/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017