ROBERT DONALD HERTENSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

ROBERT DONALD

Last Name

HERTENSTEIN

Suffix

Business Name

ROBERT DONALD HERTENSTEIN MD

Original Issue Date

01/01/1997

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021