AMANDA REIS DUBE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

REIS

Last Name

DUBE

Business Name

AMANDA REIS DUBE MD

Original Issue Date

09/28/2020

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

SHILOH

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023