JEREMIAH MICHAEL BREWER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

JEREMIAH

Middle

MICHAEL

Last Name

BREWER

Business Name

JEREMIAH MICHAEL BREWER DO

Original Issue Date

11/28/2022

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

PITTSFIELD

State

Zip

62363

County

PIKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023