AMANDA CORRINE SPITALNIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

CORRINE

Last Name

SPITALNIK

Business Name

AMANDA CORRINE SPITALNIK MD

Original Issue Date

05/09/2013

Effective Date

05/09/2013

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014