DOUGLAS ALLEN STOLTZFUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

DOUGLAS ALLEN

Last Name

STOLTZFUS

Suffix

Business Name

DOUGLAS ALLEN STOLTZFUS MD

Original Issue Date

08/12/1991

Effective Date

08/12/1991

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011