MARK DENNIS TABER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

MARK DENNIS

Last Name

TABER

Suffix

Business Name

MARK DENNIS TABER MD

Original Issue Date

08/05/1981

Effective Date

01/23/2024

Expiration Date

07/31/2026

City

WENTZVILLE

State

Zip

63385

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2024