JERAMIE LYNN ROSALES RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

JERAMIE

Middle

LYNN

Last Name

ROSALES RODRIGUEZ

Business Name

JERAMIE LYNN ROSALES RODRIGUEZ MD

Original Issue Date

05/20/2020

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63136

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023