ROBERT DALE SHULTZ DDS Dentist License verification

ROBERT DALE SHULTZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017776

License Status

NOT RENEWED

Business

First Name

ROBERT DALE

Last Name

SHULTZ

Suffix

DDS

Business Name

ROBERT DALE SHULTZ DDS

Original Issue Date

07/21/1981

Effective Date

07/16/2015

Expiration Date

09/30/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

2016003229

Action

Voluntary Surrender

Discipline Start Date

06/30/2018

Discipline Reason

due to surrendering his controlled substance privileges to the Drug Enforcement Administration for failing to properly prescribe controlled substances.