DYLAN PAUL DEATRICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

DYLAN

Middle

PAUL

Last Name

DEATRICH

Business Name

DYLAN PAUL DEATRICH MD

Original Issue Date

11/26/2024

Effective Date

11/26/2024

Expiration Date

07/31/2026

City

BEAVER

State

Zip

15009

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/26/2024