CRYSTEL DORA KNIERIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

CRYSTEL

Middle

DORA

Last Name

KNIERIM

Business Name

CRYSTEL DORA KNIERIM MD

Original Issue Date

01/10/2012

Effective Date

01/10/2012

Expiration Date

07/31/2014

City

HAZELWOOD

State

Zip

63044

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014