DONALD P PRENTISS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

DONALD

Middle

Last Name

PRENTISS

Suffix

Business Name

DONALD P PRENTISS MD

Original Issue Date

10/16/1998

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SOUTHALKE

State

Zip

76092

County

TEXAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023