MICHAEL PINEDA GERARDO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

PINEDA

Last Name

GERARDO

Business Name

MICHAEL PINEDA GERARDO

Original Issue Date

03/05/2009

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63129

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023