PETER ROY NUTTLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

PETER

Middle

ROY

Last Name

NUTTLEMAN

Suffix

Business Name

PETER ROY NUTTLEMAN MD

Original Issue Date

07/09/2009

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

PRAIRIE DU SAC

State

Zip

53578

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017