KEITH HUNT WITTENBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121879

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

HUNT

Last Name

WITTENBERG

Business Name

KEITH HUNT WITTENBERG

Original Issue Date

08/29/2008

Effective Date

08/29/2008

Expiration Date

07/31/2011

City

STAPLES

State

Zip

56479

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011