JOHNNY EDWARD BATES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

JOHNNY

Middle

EDWARD

Last Name

BATES

Business Name

JOHNNY EDWARD BATES MD

Original Issue Date

08/10/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BIRMINGHAM

State

Zip

35242

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023