NATASHA RAE MINNAERT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

NATASHA

Middle

RAE

Last Name

MINNAERT

Business Name

NATASHA RAE MINNAERT DO

Original Issue Date

11/07/2022

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CLINTON

State

Zip

61727

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023