STEPHEN TIMOTHY NITZ 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

Title

First Name

STEPHEN

Middle

TIMOTHY

Last Name

NITZ

Business Name

STEPHEN TIMOTHY NITZ MD

Original Issue Date

08/22/2012

Effective Date

08/22/2012

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020