KEITH G RASMUSSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

KEITH G

Last Name

RASMUSSEN

Suffix

Business Name

KEITH G RASMUSSEN MD

Original Issue Date

12/04/1991

Effective Date

12/04/1991

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