JAMES ALLEN KLIEFOTH 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

JAMES ALLEN

Last Name

KLIEFOTH

Suffix

Business Name

JAMES ALLEN KLIEFOTH MD

Original Issue Date

01/01/1997

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021