GHULAM HUSSAIN THAVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

GHULAM

Middle

HUSSAIN

Last Name

THAVER

Business Name

GHULAM HUSSAIN THAVER MD

Original Issue Date

11/07/2023

Effective Date

11/07/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/07/2023