BLYTHE MANSFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

BLYTHE

Last Name

MANSFIELD

Business Name

BLYTHE MANSFIELD MD

Original Issue Date

02/26/2021

Effective Date

02/26/2021

Expiration Date

07/31/2023

City

HOUSTON

State

Zip

77025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

11/30/2023