BETHANY GRAHAM SLECKMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

BETHANY

Middle

GRAHAM

Last Name

SLECKMAN

Business Name

BETHANY GRAHAM SLECKMAN MD

Original Issue Date

08/08/2016

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023