DAVID RICHARD LUELLWITZ DO Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

INOPERATIVE

Business

First Name

DAVID

Middle

RICHARD

Last Name

LUELLWITZ

Suffix

Business Name

DAVID RICHARD LUELLWITZ DO

Original Issue Date

05/18/2004

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023