BERTHRONE LACALVIN MOCK-MUHAMMAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

BERTHRONE

Middle

LACALVIN

Last Name

MOCK-MUHAMMAD

Business Name

BERTHRONE LACALVIN MOCK-MUHAMMAD MD

Original Issue Date

03/23/2023

Effective Date

08/29/2023

Expiration Date

07/31/2026

City

JACKSON

State

Zip

39206

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2023