FRED WILLIAM ROTTNEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

FRED

Middle

WILLIAM

Last Name

ROTTNEK

Suffix

Business Name

FRED WILLIAM ROTTNEK MD

Original Issue Date

12/06/2018

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023