BETH ELLEN HOTHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

BETH ELLEN

Last Name

HOTHAN

Suffix

Business Name

BETH ELLEN HOTHAN MD

Original Issue Date

06/28/1983

Effective Date

06/28/1983

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006