THOMAS J STIEGLITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

Last Name

STIEGLITZ

Business Name

THOMAS J STIEGLITZ MD

Original Issue Date

03/30/1983

Effective Date

03/30/1983

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008