RYAN M. BOUDREAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

Last Name

BOUDREAU

Business Name

RYAN M. BOUDREAU MD

Original Issue Date

07/11/2022

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

NEW ORLEANS

State

Zip

70112

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023