KEVIN ANTHONY HODGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

ANTHONY

Last Name

HODGE

Business Name

KEVIN ANTHONY HODGE MD

Original Issue Date

11/28/2022

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

County

SCOTT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023