SHANE CHRISTOPHER RAINEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

SHANE

Middle

CHRISTOPHER

Last Name

RAINEY

Business Name

SHANE CHRISTOPHER RAINEY DO

Original Issue Date

10/06/2017

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

MESA

State

Zip

85207

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023