SCOTT C SCHULTZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

SCHULTZ

Suffix

DMD

Business Name

SCOTT C SCHULTZ DMD

Original Issue Date

01/24/2003

Effective Date

09/12/2012

Expiration Date

09/30/2015

City

WAHINGTON PARK

State

Zip

62204

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016