BRIAN RICHARD SCHULTZ MD - Medical Doctor License in Ae | # 125060135

BRIAN RICHARD SCHULTZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060135

License Status

EXPIRED

Business

N

Title

MD

First Name

BRIAN

Middle

RICHARD

Last Name

SCHULTZ

Business Name

BRIAN RICHARD SCHULTZ MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

State

AE

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

07/19/2018