ANITA DEWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

ANITA

Last Name

DEWAN

Suffix

Business Name

ANITA DEWAN MD

Original Issue Date

01/01/1997

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020