JONATHAN RODERICK DUTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

RODERICK

Last Name

DUTT

Business Name

JONATHAN RODERICK DUTT MD

Original Issue Date

12/13/2019

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023