KIM EVELYN SCHULTHEISS 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

KIM

Middle

EVELYN

Last Name

SCHULTHEISS

Suffix

Business Name

KIM EVELYN SCHULTHEISS MD

Original Issue Date

11/29/2005

Effective Date

09/01/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020