RANDAL C PANIELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

RANDAL C

Last Name

PANIELLO

Suffix

Business Name

RANDAL C PANIELLO MD

Original Issue Date

01/09/1992

Effective Date

01/09/1992

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006