JEFFREY DAVID GURTIZEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

GURTIZEN

Business Name

JEFFREY DAVID GURTIZEN DO

Original Issue Date

08/13/2014

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023