KYLE WESLEY SANDERS MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

INOPERATIVE

Business

Title

First Name

KYLE

Middle

WESLEY

Last Name

SANDERS

Business Name

KYLE WESLEY SANDERS MD

Original Issue Date

04/13/2023

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

FARMINGTON

State

Zip

87401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/13/2023