JOSE B YTEM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

JOSE B

Last Name

YTEM

Business Name

JOSE B YTEM

Original Issue Date

07/08/1986

Effective Date

07/08/1986

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006