BRENT EDWARD WHITE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

BRENT

Middle

EDWARD

Last Name

WHITE

Business Name

BRENT EDWARD WHITE MD

Original Issue Date

06/16/2015

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

MINNEAPOLIS

State

Zip

55401

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023