MICKEY JUSTIN MYLES KUO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

MICKEY

Middle

JUSTIN MYLES

Last Name

KUO

Business Name

MICKEY JUSTIN MYLES KUO MD

Original Issue Date

10/01/2024

Effective Date

10/01/2024

Expiration Date

07/31/2026

City

BETHESDA

State

Zip

20892

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024