THAN THAN AYE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

THAN

Middle

THAN

Last Name

AYE

Business Name

THAN THAN AYE MD

Original Issue Date

07/19/2022

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

RAPID CITY

State

Zip

57703

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023