KIM EVELYN SCHULTHEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

KIM

Middle

EVELYN

Last Name

SCHULTHEISS

Suffix

Business Name

KIM EVELYN SCHULTHEISS MD

Original Issue Date

06/22/2005

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020