MATTHEW CARROLL MINNETTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

CARROLL

Last Name

MINNETTE

Business Name

MATTHEW CARROLL MINNETTE MD

Original Issue Date

04/22/2022

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63131

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023