PETER BRIAN KROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

BRIAN

Last Name

KROLL

Business Name

PETER BRIAN KROLL MD

Original Issue Date

06/26/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021