SUMNER HOLTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

SUMNER

Last Name

HOLTZ

Suffix

Business Name

SUMNER HOLTZ MD

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/31/1987

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006