MICHAEL J RADTKE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

RADTKE

Business Name

MICHAEL J RADTKE

Original Issue Date

07/18/2006

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

VERONA

State

Zip

53593

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017