FREDERICK OTIENO OCHIENG` MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

FREDERICK

Middle

OTIENO

Last Name

OCHIENG`

Business Name

FREDERICK OTIENO OCHIENG` MD

Original Issue Date

08/10/2020

Effective Date

06/09/2023

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

06/09/2023