STEPHEN TIMOTHY NITZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

TIMOTHY

Last Name

NITZ

Business Name

STEPHEN TIMOTHY NITZ MD

Original Issue Date

12/07/2001

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023