KEVIN ANDREW ROODHOUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

ANDREW

Last Name

ROODHOUSE

Business Name

KEVIN ANDREW ROODHOUSE MD

Original Issue Date

02/17/2023

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63124

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023