JEFFREY BRIAN MCINTOSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

BRIAN

Last Name

MCINTOSH

Business Name

JEFFREY BRIAN MCINTOSH MD

Original Issue Date

12/11/2008

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023