MARY KATHERINE DEAN 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

Title

First Name

MARY

Middle

KATHERINE

Last Name

DEAN

Business Name

MARY KATHERINE DEAN MD

Original Issue Date

06/06/2019

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023