JULIE KAY WITTENAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

JULIE

Middle

KAY

Last Name

WITTENAUER

Business Name

JULIE KAY WITTENAUER MD

Original Issue Date

05/06/2009

Effective Date

10/27/2017

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017