THEODORE ROOSEVELT HARPER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

ROOSEVELT

Last Name

HARPER

Business Name

THEODORE ROOSEVELT HARPER MD

Original Issue Date

05/14/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023