RAYMOND ALLEN HACKETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

RAYMOND

Middle

ALLEN

Last Name

HACKETT

Business Name

RAYMOND ALLEN HACKETT MD

Original Issue Date

07/20/2021

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

LONDON

State

Zip

40744

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023