AMANDA S TRUDELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

Last Name

TRUDELL

Business Name

AMANDA S TRUDELL DO

Original Issue Date

03/16/2015

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63124

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023