KATHRYN Q BERNABE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

KATHRYN

Middle

Last Name

BERNABE

Business Name

KATHRYN Q BERNABE MD

Original Issue Date

02/03/2015

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63124

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021