TIMOTHY RODDY SHAVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

RODDY

Last Name

SHAVER

Business Name

TIMOTHY RODDY SHAVER MD

Original Issue Date

10/12/2023

Effective Date

10/12/2023

Expiration Date

07/31/2026

City

CENTREVILLE

State

Zip

20120

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/12/2023