RICHARD A STOLZE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

INOPERATIVE

Business

First Name

RICHARD

Middle

Last Name

STOLZE

Business Name

RICHARD A STOLZE

Original Issue Date

07/16/2015

Effective Date

01/15/2020

Expiration Date

03/01/2022

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/03/2022