ELIJAH JAMES LUYTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

ELIJAH

Middle

JAMES

Last Name

LUYTEN

Business Name

ELIJAH JAMES LUYTEN MD

Original Issue Date

12/07/2020

Effective Date

12/07/2020

Expiration Date

07/31/2023

City

DAVENPORT

State

Zip

52806

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023