WILLIAM EMERSON MUTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

EMERSON

Last Name

MUTH

Business Name

WILLIAM EMERSON MUTH MD

Original Issue Date

11/08/2021

Effective Date

11/08/2021

Expiration Date

07/31/2023

City

TRAVERSE CITY

State

Zip

49684

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023