RICHARD E MINTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

Last Name

MINTER

Business Name

RICHARD E MINTER DO

Original Issue Date

01/04/2016

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023