DOROTHY KATHERINE GRANGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

DOROTHY

Middle

KATHERINE

Last Name

GRANGE

Suffix

Business Name

DOROTHY KATHERINE GRANGE MD

Original Issue Date

06/10/2021

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023