SHULAMIT PORTNOY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

SHULAMIT

Last Name

PORTNOY

Business Name

SHULAMIT PORTNOY MD

Original Issue Date

10/13/2020

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023