JOHN RAYMOND GROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

JOHN RAYMOND

Last Name

GROLL

Suffix

Business Name

JOHN RAYMOND GROLL MD

Original Issue Date

08/04/1998

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63131

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021