ROSEWELL V MACKEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

ROSEWELL

Middle

Last Name

MACKEY

Business Name

ROSEWELL V MACKEY MD

Original Issue Date

02/25/2020

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023