TIMOTHY ANTHONY BUCKLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

ANTHONY

Last Name

BUCKLEY

Business Name

TIMOTHY ANTHONY BUCKLEY MD

Original Issue Date

09/03/2013

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10012

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2023