BRIAN WALTER KAEBNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

WALTER

Last Name

KAEBNICK

Business Name

BRIAN WALTER KAEBNICK MD

Original Issue Date

01/18/2018

Effective Date

01/18/2018

Expiration Date

09/30/2020

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021