SIMON FENSTERSZAUB DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

SIMON

Last Name

FENSTERSZAUB

Business Name

SIMON FENSTERSZAUB DO

Original Issue Date

01/05/2024

Effective Date

01/05/2024

Expiration Date

07/31/2026

City

FORT LAUDERDALE

State

Zip

33312

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2024