NATHAN OLIVER STITZIEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050908

License Status

CANCELLED

Business

First Name

NATHAN

Middle

OLIVER

Last Name

STITZIEL

Suffix

Business Name

NATHAN OLIVER STITZIEL MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CLAYTON

State

Zip

63105

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006