ANDREW G MAYO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

Last Name

MAYO

Business Name

ANDREW G MAYO MD

Original Issue Date

05/12/2021

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

OAKDALE

State

Zip

55128

County

WASHINGTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023