JOSHUA DWAINE LENTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

JOSHUA

Middle

DWAINE

Last Name

LENTZ

Business Name

JOSHUA DWAINE LENTZ MD

Original Issue Date

09/16/2021

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023