LEANN F NITSCHKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

LEANN F

Last Name

NITSCHKE

Suffix

Business Name

LEANN F NITSCHKE MD

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

07/31/2005

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020