DAVID RICHARD LUELLWITZ DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110948

License Status

INACTIVE

Business

First Name

DAVID

Middle

RICHARD

Last Name

LUELLWITZ

Suffix

Business Name

DAVID RICHARD LUELLWITZ DO

Original Issue Date

03/05/2004

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

STOUGHTON

State

Zip

53589

Ever Disciplined

LastModifiedDate

07/29/2023