MICHAEL A J IHLENFELDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

A J

Last Name

IHLENFELDT

Business Name

MICHAEL A J IHLENFELDT MD

Original Issue Date

02/10/1988

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014