TIMOTHY MARK RIESENBERGER MD 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

TIMOTHY

Middle

MARK

Last Name

RIESENBERGER

Business Name

TIMOTHY MARK RIESENBERGER MD

Original Issue Date

09/18/2018

Effective Date

08/23/2024

Expiration Date

07/31/2026

City

PARIS

State

Zip

61944

County

EDGAR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024