REHAB STANTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

REHAB

Last Name

STANTON

Business Name

REHAB STANTON MD

Original Issue Date

07/22/2024

Effective Date

07/22/2024

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62221

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2024