SAMUEL L MOLTZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

MOLTZ

Business Name

SAMUEL L MOLTZ

Original Issue Date

08/11/2005

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023