MADELEINE GENEREUX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

MADELEINE

Last Name

GENEREUX

Business Name

MADELEINE GENEREUX MD

Original Issue Date

05/06/2021

Effective Date

05/06/2021

Expiration Date

07/31/2023

City

CHARLESTON

State

Zip

29414

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023