DAVID WAYNE STOLTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

DAVID WAYNE

Last Name

STOLTZ

Suffix

Business Name

DAVID WAYNE STOLTZ MD

Original Issue Date

09/29/1994

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023