CHRISTOPHER W MODERT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

CHRISTOPHER W

Last Name

MODERT

Suffix

Business Name

CHRISTOPHER W MODERT DO

Original Issue Date

08/17/1989

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023