BRIAN VAN LE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

VAN

Last Name

Business Name

BRIAN VAN LE MD

Original Issue Date

08/02/2011

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53705

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023