SANAM SULTANA VAKASSI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

SANAM

Middle

SULTANA

Last Name

VAKASSI

Business Name

SANAM SULTANA VAKASSI DO

Original Issue Date

08/07/2021

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63017

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023