CATHERINE KREIDER BAST MD - Medical Doctor License in Missouri | # 33*****43

CATHERINE KREIDER BAST MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CATHERINE

Middle

KREIDER

Last Name

BAST

Business Name

CATHERINE KREIDER BAST MD

Original Issue Date

10/27/2017

Effective Date

10/27/2017

Expiration Date

09/30/2020

State

MO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/14/2021