LANCE WYETH DORSEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

LANCE

Middle

WYETH

Last Name

DORSEY

Suffix

Business Name

LANCE WYETH DORSEY MD

Original Issue Date

06/01/2011

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023