TIMOTHY P REARDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

TIMOTHY P

Last Name

REARDEN

Suffix

Business Name

TIMOTHY P REARDEN MD

Original Issue Date

03/13/1995

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

CHESTERFIELD

State

Zip

63005

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023