DEREK LANCE HOLDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

DEREK

Middle

LANCE

Last Name

HOLDER

Business Name

DEREK LANCE HOLDER MD

Original Issue Date

09/22/2017

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023