THEODORE R ADDAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

ADDAI

Suffix

Business Name

THEODORE R ADDAI MD

Original Issue Date

10/24/1989

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023