GREGORY ALAN EWALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

ALAN

Last Name

EWALD

Business Name

GREGORY ALAN EWALD MD

Original Issue Date

10/06/2020

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023