JACOB AUSTIN STANISLAW MARGANSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

AUSTIN STANISLAW

Last Name

MARGANSKI

Business Name

JACOB AUSTIN STANISLAW MARGANSKI MD

Original Issue Date

11/30/2016

Effective Date

11/30/2016

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017