NICHOLAS CHRISTIAN SCHULTZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

Title

DMD

First Name

NICHOLAS

Middle

CHRISTIAN

Last Name

SCHULTZ

Business Name

NICHOLAS CHRISTIAN SCHULTZ DMD

Original Issue Date

04/19/2022

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024