JESSICA WADE FIVECOAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

JESSICA

Middle

WADE

Last Name

FIVECOAT

Business Name

JESSICA WADE FIVECOAT MD

Original Issue Date

04/19/2024

Effective Date

04/19/2024

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2024