TODD W STULTZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110996

License Status

INACTIVE

Business

First Name

TODD

Middle

Last Name

STULTZ

Suffix

Business Name

TODD W STULTZ MD

Original Issue Date

03/12/2004

Effective Date

03/12/2004

Expiration Date

07/31/2005

City

BRECKSVILLE

State

Zip

44141

County

OHIO

Ever Disciplined

LastModifiedDate

12/20/2007