MYRNA M PATRICIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

MYRNA M

Last Name

PATRICIO

Business Name

MYRNA M PATRICIO MD

Original Issue Date

01/30/1996

Effective Date

01/30/1996

Expiration Date

07/31/1996

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020