TIMOTHY JOHN CUSTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

JOHN

Last Name

CUSTER

Business Name

TIMOTHY JOHN CUSTER MD

Original Issue Date

10/04/2023

Effective Date

10/04/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/04/2023