JEANE MARIE CASSELBERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

JEANE

Middle

MARIE

Last Name

CASSELBERRY

Business Name

JEANE MARIE CASSELBERRY MD

Original Issue Date

08/27/2021

Effective Date

08/27/2021

Expiration Date

07/31/2023

City

BINGHAM FARMS

State

Zip

48025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023