RALPH J DAMIANO JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

RALPH

Middle

Last Name

DAMIANO

Suffix

JR MD

Business Name

RALPH J DAMIANO JR MD

Original Issue Date

11/18/2022

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023