LUKE SAMUEL BREWTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

LUKE

Middle

SAMUEL

Last Name

BREWTON

Business Name

LUKE SAMUEL BREWTON MD

Original Issue Date

01/11/2024

Effective Date

01/11/2024

Expiration Date

07/31/2026

City

BOISE

State

Zip

83716

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2024