LLOYD CHARLES CASSIDY IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

LLOYD

Middle

CHARLES

Last Name

CASSIDY IV

Business Name

LLOYD CHARLES CASSIDY IV MD

Original Issue Date

10/13/2017

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

GREEN BAY

State

Zip

54313

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023