WILLIAM LOGAN TONTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

LOGAN

Last Name

TONTZ

Business Name

WILLIAM LOGAN TONTZ MD

Original Issue Date

08/18/2010

Effective Date

08/18/2010

Expiration Date

07/31/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011