KENNETH GEORGE SCHELLHASE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

INACTIVE

Business

First Name

KENNETH

Middle

GEORGE

Last Name

SCHELLHASE

Suffix

Business Name

KENNETH GEORGE SCHELLHASE MD

Original Issue Date

12/17/1999

Effective Date

10/01/2021

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2023