A T APPENHEIMER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

A T

Last Name

APPENHEIMER

Suffix

Business Name

A T APPENHEIMER MD

Original Issue Date

01/01/1997

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

OREGON

State

Zip

61061

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023