GREGORY RICHARD BOOTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

RICHARD

Last Name

BOOTH

Business Name

GREGORY RICHARD BOOTH MD

Original Issue Date

06/30/2011

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014