GINGER A FEWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

GINGER

Middle

Last Name

FEWELL

Business Name

GINGER A FEWELL MD

Original Issue Date

02/28/2014

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023