JAMES C HERTENSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

JAMES C

Last Name

HERTENSTEIN

Suffix

Business Name

JAMES C HERTENSTEIN MD

Original Issue Date

11/02/1988

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023