VADIM Y BARAM MD 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

VADIM

Middle

Last Name

BARAM

Suffix

Business Name

VADIM Y BARAM MD

Original Issue Date

10/29/2020

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023