ALDEN BLAKE DANIELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

ALDEN

Middle

BLAKE

Last Name

DANIELS

Business Name

ALDEN BLAKE DANIELS MD

Original Issue Date

07/08/2024

Effective Date

07/08/2024

Expiration Date

07/31/2026

City

CORDOVA

State

Zip

38016

County

SHELBY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2024