HARLAN RAY MUNTZ 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

HARLAN

Middle

RAY

Last Name

MUNTZ

Suffix

Business Name

HARLAN RAY MUNTZ MD

Original Issue Date

04/06/1998

Effective Date

04/06/1998

Expiration Date

07/31/2002

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006