TIMOTHY G DRAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

DRAKE

Suffix

Business Name

TIMOTHY G DRAKE MD

Original Issue Date

07/20/1998

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023