MARTIN ANTHONY BRIESCHKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

ANTHONY

Last Name

BRIESCHKE

Business Name

MARTIN ANTHONY BRIESCHKE MD

Original Issue Date

12/01/2023

Effective Date

12/01/2023

Expiration Date

07/31/2026

City

SELLERSBURG

State

Zip

47172

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/01/2023