RENEE BAILEY VAN STAVERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144874

License Status

ACTIVE

Business

Title

First Name

RENEE

Middle

BAILEY

Last Name

VAN STAVERN

Business Name

RENEE BAILEY VAN STAVERN MD

Original Issue Date

01/02/2018

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/18/2023