MARK A MUSCATO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

MUSCATO

Suffix

Business Name

MARK A MUSCATO MD

Original Issue Date

08/15/2005

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023