BRIAN JAY AMNSEEUW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

BRIAN

Middle

JAY

Last Name

AMNSEEUW

Suffix

Business Name

BRIAN JAY AMNSEEUW MD

Original Issue Date

07/05/2000

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023