RONALD JAY INNERFIELD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

RONALD

Middle

JAY

Last Name

INNERFIELD

Business Name

RONALD JAY INNERFIELD MD

Original Issue Date

12/05/2023

Effective Date

12/05/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2023