JUSTIN RAY HODGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

RAY

Last Name

HODGE

Business Name

JUSTIN RAY HODGE MD

Original Issue Date

02/04/2009

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023