WILLIAM FRED HOFFMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

FRED

Last Name

HOFFMAN

Suffix

Business Name

WILLIAM FRED HOFFMAN MD

Original Issue Date

07/17/2001

Effective Date

07/17/2001

Expiration Date

07/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006