PHILIP JAMES MEAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

JAMES

Last Name

MEAD

Business Name

PHILIP JAMES MEAD MD

Original Issue Date

05/19/2021

Effective Date

11/19/2024

Expiration Date

07/31/2026

City

MADISON

State

Zip

53711

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/19/2024