SALLY GEISER MCKINNON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

SALLY

Middle

GEISER

Last Name

MCKINNON

Business Name

SALLY GEISER MCKINNON MD

Original Issue Date

03/26/2015

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53717

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023