GRANT WATSON GERDELMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

GRANT

Middle

WATSON

Last Name

GERDELMAN

Business Name

GRANT WATSON GERDELMAN MD

Original Issue Date

05/12/2017

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023