TIMOTHY L ISHMAEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

ISHMAEL

Suffix

Business Name

TIMOTHY L ISHMAEL MD

Original Issue Date

03/21/2000

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023