JEROME LUDWIG BETTAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

JEROME LUDWIG

Last Name

BETTAG

Suffix

Business Name

JEROME LUDWIG BETTAG MD

Original Issue Date

01/01/1997

Effective Date

11/15/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/15/2023