KENNETH P SCHULTHEIS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

CANCELLED

Business

First Name

KENNETH

Middle

Last Name

SCHULTHEIS

Suffix

Business Name

KENNETH P SCHULTHEIS DO

Original Issue Date

03/25/2003

Effective Date

03/25/2003

Expiration Date

07/31/2008

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008