VERNESHA MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

VERNESHA

Last Name

MONTGOMERY

Business Name

VERNESHA MONTGOMERY MD

Original Issue Date

03/26/2014

Effective Date

06/02/2017

Expiration Date

09/30/2020

City

CENTERVILLE

State

Zip

45459

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021