ROD E HARTZEL 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

ROD

Middle

Last Name

HARTZEL

Business Name

ROD E HARTZEL

Original Issue Date

05/05/1989

Effective Date

07/01/2020

Expiration Date

07/31/2023

City

EDWARDSVILLE

State

Zip

62026

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023