KATIE MERIB BITTNER DO 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

Title

First Name

KATIE

Middle

MERIB

Last Name

BITTNER

Business Name

KATIE MERIB BITTNER DO

Original Issue Date

06/07/2016

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021