BRANDON WADE COVERT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

WADE

Last Name

COVERT

Suffix

Business Name

BRANDON WADE COVERT DO

Original Issue Date

07/25/2003

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014