LANE CLAYTON THAUT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

LANE

Middle

CLAYTON

Last Name

THAUT

Business Name

LANE CLAYTON THAUT MD

Original Issue Date

04/04/2025

Effective Date

04/04/2025

Expiration Date

07/31/2026

City

KIHEI

State

Zip

96753

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

04/04/2025