DIANA L GRAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

DIANA

Middle

Last Name

GRAY

Business Name

DIANA L GRAY MD

Original Issue Date

10/10/2020

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023