METTISA RAE KING MCLEOD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113800

License Status

ACTIVE

Business

First Name

METTISA

Middle

RAE KING

Last Name

MCLEOD

Suffix

Business Name

METTISA RAE KING MCLEOD MD

Original Issue Date

05/26/2005

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

07/08/2023