COLLIN M STUTZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001041

License Status

ACTIVE

Business

Title

DDS

First Name

COLLIN

Middle

Last Name

STUTZ

Business Name

COLLIN M STUTZ DDS

Original Issue Date

12/10/2019

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/02/2024