SARA KNEEDLER MODERT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

SARA

Last Name

KNEEDLER MODERT

Business Name

SARA KNEEDLER MODERT

Original Issue Date

08/02/1989

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023