ROBERT LAZELL WHITE 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

Title

First Name

ROBERT

Middle

LAZELL

Last Name

WHITE

Business Name

ROBERT LAZELL WHITE MD

Original Issue Date

12/06/2023

Effective Date

12/06/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2023