MARY TERESE COUTURE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

MARY TERESE

Last Name

COUTURE

Business Name

MARY TERESE COUTURE DO

Original Issue Date

02/08/2023

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023