JAMES DOMENIC ST LOUIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

DOMENIC

Last Name

ST LOUIS

Business Name

JAMES DOMENIC ST LOUIS MD

Original Issue Date

03/12/2015

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

KANSAS CITY

State

Zip

64108

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021