EBONI ANTONIA REED 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

Title

First Name

EBONI

Middle

ANTONIA

Last Name

REED

Business Name

EBONI ANTONIA REED MD

Original Issue Date

04/10/2023

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

TROY

State

Zip

48098

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023