ANDREW BLAINE HYATT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

BLAINE

Last Name

HYATT

Business Name

ANDREW BLAINE HYATT DO

Original Issue Date

05/24/2024

Effective Date

05/24/2024

Expiration Date

07/31/2026

City

CAPE GIRARDEAU

State

Zip

63701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2024