BRUCE WILLARD SCHULTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

WILLARD

Last Name

SCHULTZ

Suffix

Business Name

BRUCE WILLARD SCHULTZ MD

Original Issue Date

12/23/2003

Effective Date

12/23/2003

Expiration Date

07/31/2005

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020