JACOB GRAHAM LANTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

GRAHAM

Last Name

LANTER

Business Name

JACOB GRAHAM LANTER MD

Original Issue Date

08/18/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023