TIMOTHY JOSEPH CARMODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

JOSEPH

Last Name

CARMODY

Business Name

TIMOTHY JOSEPH CARMODY MD

Original Issue Date

05/24/2012

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

CLIVE

State

Zip

50325

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023