TIMOTHY W STAED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

STAED

Suffix

Business Name

TIMOTHY W STAED MD

Original Issue Date

05/11/1999

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023