BRIAN ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

BRIAN

Last Name

ANDERSON

Business Name

BRIAN ANDERSON MD

Original Issue Date

08/14/2023

Effective Date

08/14/2023

Expiration Date

07/31/2026

City

LEHI

State

Zip

84043

County

UTAH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2023