LAWRENCE R DULTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

LAWRENCE R

Last Name

DULTZ

Suffix

Business Name

LAWRENCE R DULTZ MD

Original Issue Date

02/11/1997

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014