LANCE DAVID REAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

LANCE

Middle

DAVID

Last Name

REAL

Business Name

LANCE DAVID REAL

Original Issue Date

03/10/2009

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MT STERLING

State

Zip

62353

County

BROWN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023