ADAM ROSS TODD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

ROSS

Last Name

TODD

Business Name

ADAM ROSS TODD MD

Original Issue Date

04/10/2014

Effective Date

06/16/2017

Expiration Date

09/30/2020

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021