LUKAS DELBERT WARTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

LUKAS

Middle

DELBERT

Last Name

WARTMAN

Business Name

LUKAS DELBERT WARTMAN MD

Original Issue Date

04/19/2019

Effective Date

04/19/2019

Expiration Date

09/30/2020

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021