TIMOTHY ROBERT LOCKSO DO 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

TIMOTHY

Middle

ROBERT

Last Name

LOCKSO

Business Name

TIMOTHY ROBERT LOCKSO DO

Original Issue Date

10/08/2023

Effective Date

10/08/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/08/2023