RYAN FIELDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

RYAN

Last Name

FIELDS

Business Name

RYAN FIELDS MD

Original Issue Date

10/22/2020

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

ROCHESTER

State

Zip

14642

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023