JOHANNA O SEITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

JOHANNA O

Last Name

SEITZ

Suffix

Business Name

JOHANNA O SEITZ MD

Original Issue Date

07/22/1985

Effective Date

07/22/1985

Expiration Date

07/31/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006