TIMOTHY ALAN MATHIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

TIMOTHY ALAN

Last Name

MATHIS

Suffix

Business Name

TIMOTHY ALAN MATHIS MD

Original Issue Date

06/28/1994

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023