DAVIDA DENISE RIXTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

DAVIDA

Middle

DENISE

Last Name

RIXTER

Business Name

DAVIDA DENISE RIXTER MD

Original Issue Date

08/17/2015

Effective Date

08/17/2015

Expiration Date

07/31/2017

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017