JUSTIN EDWARD WITTKOPF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

EDWARD

Last Name

WITTKOPF

Business Name

JUSTIN EDWARD WITTKOPF MD

Original Issue Date

05/06/2009

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

VERNON HILLS

State

Zip

60061

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023