BRIAN VAN TINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154052

License Status

ACTIVE

Business

Title

First Name

BRIAN

Last Name

VAN TINE

Business Name

BRIAN VAN TINE MD

Original Issue Date

08/20/2020

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

04/12/2023