BAKUL R DAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

BAKUL

Middle

Last Name

DAVE

Suffix

Business Name

BAKUL R DAVE MD

Original Issue Date

06/30/2021

Effective Date

06/30/2021

Expiration Date

07/31/2023

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023