STEPHEN PHILLIP PERSAUD MD 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

STEPHEN

Middle

PHILLIP

Last Name

PERSAUD

Business Name

STEPHEN PHILLIP PERSAUD MD

Original Issue Date

08/30/2025

Effective Date

08/30/2025

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63117

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2025