MARY C AGNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

MARY C

Last Name

AGNE

Suffix

Business Name

MARY C AGNE MD

Original Issue Date

08/22/1991

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023