DOUGLAS ALLEN STOLTZFUS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083024

License Status

INACTIVE

Business

First Name

DOUGLAS ALLEN

Last Name

STOLTZFUS

Suffix

Business Name

DOUGLAS ALLEN STOLTZFUS MD

Original Issue Date

07/18/1991

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011