MARK P EID MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

EID

Business Name

MARK P EID MD

Original Issue Date

12/02/2021

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

FREDERICKSBURG

State

Zip

22401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023