JACOB CALVEY MARSHALL JR 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

First Name

JACOB

Middle

CALVEY

Last Name

MARSHALL

Suffix

JR MD

Business Name

JACOB CALVEY MARSHALL JR MD

Original Issue Date

03/24/2000

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

COLLINSVILLE

State

Zip

62234

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023