JILL A BIRKHOLZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

JILL

Middle

Last Name

BIRKHOLZ

Suffix

Business Name

JILL A BIRKHOLZ MD

Original Issue Date

03/04/1999

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023