MECCA T MCDONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MECCA

Middle

Last Name

MCDONALD

Suffix

Business Name

MECCA T MCDONALD MD

Original Issue Date

02/22/1996

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021