SCOTT A KLETTKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138484

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

Last Name

KLETTKE

Business Name

SCOTT A KLETTKE MD

Original Issue Date

06/29/2015

Effective Date

06/29/2015

Expiration Date

07/31/2017

City

SHEBOYGAN FALLS

State

Zip

53085

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017