MICHAEL BRYAN STUTZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

MICHAEL BRYAN

Last Name

STUTZ

Business Name

MICHAEL BRYAN STUTZ

Original Issue Date

06/18/1998

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024