DAVID C MOOTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

DAVID C

Last Name

MOOTH

Suffix

Business Name

DAVID C MOOTH MD

Original Issue Date

10/29/1997

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CARLYLE

State

Zip

62231

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023