JAMES ALLEN KLIEFOTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

JAMES ALLEN

Last Name

KLIEFOTH

Suffix

Business Name

JAMES ALLEN KLIEFOTH MD

Original Issue Date

03/31/1993

Effective Date

03/31/1993

Expiration Date

07/31/1993

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020