LARRY P STALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

LARRY P

Last Name

STALTER

Suffix

Business Name

LARRY P STALTER MD

Original Issue Date

06/08/1982

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

FLANAGAN

State

Zip

61740

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023