TODD LAWRENCE ENGDAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

TODD

Middle

LAWRENCE

Last Name

ENGDAHL

Suffix

Business Name

TODD LAWRENCE ENGDAHL MD

Original Issue Date

04/28/2005

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42003

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023