METTISA RAE KING MCLEOD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

METTISA

Middle

RAE KING

Last Name

MCLEOD

Suffix

Business Name

METTISA RAE KING MCLEOD MD

Original Issue Date

06/02/2005

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

FLORISSANT

State

Zip

63033

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023