MEGAN LYNN STULTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

MEGAN

Middle

LYNN

Last Name

STULTZ

Business Name

MEGAN LYNN STULTZ MD

Original Issue Date

08/01/2013

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020