BRUCE WILLARD SCHULTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

BRUCE

Middle

WILLARD

Last Name

SCHULTZ

Suffix

Business Name

BRUCE WILLARD SCHULTZ MD

Original Issue Date

12/23/2003

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

HAVANA

State

Zip

62644

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023