BLAKE ANDREW BRUTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

BLAKE

Middle

ANDREW

Last Name

BRUTON

Business Name

BLAKE ANDREW BRUTON MD

Original Issue Date

04/30/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63118

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023