EDITHA AGUSTIN KRUEGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

EDITHA

Middle

AGUSTIN

Last Name

KRUEGER

Business Name

EDITHA AGUSTIN KRUEGER MD

Original Issue Date

04/26/2021

Effective Date

05/12/2025

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2025