DONALD WILTZ FABACHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

WILTZ

Last Name

FABACHER

Business Name

DONALD WILTZ FABACHER MD

Original Issue Date

12/10/2015

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

HARAHAN

State

Zip

70123

County

LOUISIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023