FLORY M KREUTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

FLORY M

Last Name

KREUTTER

Suffix

Business Name

FLORY M KREUTTER MD

Original Issue Date

12/02/1987

Effective Date

12/02/1987

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006