JUSTIN T RAMZA 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

JUSTIN

Middle

Last Name

RAMZA

Suffix

Business Name

JUSTIN T RAMZA MD

Original Issue Date

11/18/2002

Effective Date

11/18/2002

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020