MANDIE GENEIL PRIOR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

MANDIE

Middle

GENEIL

Last Name

PRIOR

Business Name

MANDIE GENEIL PRIOR DO

Original Issue Date

05/06/2025

Effective Date

05/06/2025

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2025