CHRISTOPHER D STORTZUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

Last Name

STORTZUM

Suffix

Business Name

CHRISTOPHER D STORTZUM MD

Original Issue Date

06/22/2005

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2023