ROBERT DALE SHULTZ DDS Dentist License verification

ROBERT DALE SHULTZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

ROBERT DALE

Last Name

SHULTZ

Suffix

DDS

Business Name

ROBERT DALE SHULTZ DDS

Original Issue Date

08/26/1981

Effective Date

07/16/2015

Expiration Date

09/30/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

2016003229

Action

Voluntary Surrender

Discipline Start Date

03/16/2018

Discipline Reason

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