LANCE WYETH DORSEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127207

License Status

ACTIVE

Business

First Name

LANCE

Middle

WYETH

Last Name

DORSEY

Suffix

Business Name

LANCE WYETH DORSEY MD

Original Issue Date

02/17/2011

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

HANNIBAL

State

Zip

63401

Ever Disciplined

LastModifiedDate

07/24/2023