PATRICK L MOLT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

PATRICK

Middle

Last Name

MOLT

Suffix

Business Name

PATRICK L MOLT MD

Original Issue Date

10/26/1999

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023