LARRY P STALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064076

License Status

NOT RENEWED

Business

First Name

LARRY P

Last Name

STALTER

Suffix

Business Name

LARRY P STALTER MD

Original Issue Date

03/22/1982

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

FLANAGAN

State

Zip

61740

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

11/30/2023