JUDITH R OPPENHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

OPPENHEIM

Suffix

Business Name

JUDITH R OPPENHEIM MD

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011