WILLIAM R BERTELSEN 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

First Name

WILLIAM

Middle

Last Name

BERTELSEN

Suffix

Business Name

WILLIAM R BERTELSEN MD

Original Issue Date

01/01/1997

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011